Organization Active NPI

Mahogany Home Health and Hospice LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1003609157
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MAHOGANY HOME HEALTH AND HOSPICE LLC
Practice address
2400 Reading Rd Ste 139
Cincinnati, OH 45202-1429
Phone
(513) 402-0496
Fax
(513) 399-5845
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Victor Couzens
Title
Ceo
Phone
(513) 402-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2400 Reading Rd Ste 139
Cincinnati, OH 45202-1429

Mailing address

2400 Reading Rd Ste 139
Cincinnati, OH 45202-1429
Phone (513) 402-0496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251014002739 OH Part B Supplier - Clinic/Group Practice 0547789364 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mahogany Home Health and Hospice LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2400 Reading Rd
Ste 139
Cincinnati, OH 45202
Phone (513) 402-0496

Practitioners & affiliated clinicians

Practitioners 2

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": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1003609157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 READING RD STE 139",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021429",
            "telephone_number": "513-402-0496",
            "fax_number": "513-399-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 READING RD STE 139",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021429",
            "telephone_number": "513-402-0496",
            "fax_number": "513-399-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY HOME HEALTH AND HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "COUZENS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-402-0496"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.