Organization Active NPI

Tahara Health, Inc.

  • Home Health Agency
  • Montgomeryville, PA
National Provider Identifier
1003431412
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TAHARA HEALTH, INC.
Practice address
589 Bethlehem Pike Ste 600
Montgomeryville, PA 18936-9715
Phone
(215) 764-6802
Fax
(215) 509-5596
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mohamed L SesayNPI 1033044177
Title
Ceo/Administrator
Phone
(215) 764-6802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

589 Bethlehem Pike Ste 600
Montgomeryville, PA 18936-9715

Mailing address

589 Bethlehem Pike Ste 600
Montgomeryville, PA 18936-9715
Phone (215) 764-6802

Other identifiers 1

IdentifierTypeStateIssuer
103833217001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210204000294 PA Part A Provider - Home Health Agency 8628482569 Practice locations: Montgomeryville, PA

Home health agency certification: CCN 398324

Legal name
TAHARA HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 2021
Last certification
Jun 1, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 24, 2020 in PA
Enrollment address
589 Bethlehem Pike
Ste 600
Montgomeryville, PA 18936-9715

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tahara Health Inc.CCN 398324 · All quality measures
Ownership
Proprietary
Certified
Jun 1, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

589 Bethlehem Pike
Ste 600
Montgomeryville, PA 18936
Phone (215) 764-6802

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mohamed Sesay Individual 5% Or Greater Direct Ownership InterestCeo/Administrator Oct 1, 2024 100%
Corporate Officer Oct 1, 2024
Corporate Director Oct 1, 2024
Lia Cooper Individual Corporate OfficerVice President Mar 24, 2020
Corporate DirectorVice President Mar 24, 2020
W-2 Managing EmployeeVice President Mar 24, 2020
Damiqca Williams Individual Corporate OfficerSecretary Mar 24, 2020
Corporate DirectorSecretary Mar 24, 2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1003431412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 BETHLEHEM PIKE STE 600",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369715",
            "telephone_number": "215-764-6802",
            "fax_number": "215-509-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 BETHLEHEM PIKE STE 600",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369715",
            "telephone_number": "215-764-6802",
            "fax_number": "215-509-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHARA HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "SESAY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "215-764-6802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103833217001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

Verify at the official NPI Registry.