Organization Active NPI

Alternative Home Health Agency LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1023615978
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALTERNATIVE HOME HEALTH AGENCY LLC
Practice address
1395 E Dublin Granville Rd Ste 418
Columbus, OH 43229-3329
Phone
(614) 826-7448
Fax
(614) 826-7449
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Omer Mohamed
Title
President
Phone
(614) 826-7448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1395 E Dublin Granville Rd Ste 418
Columbus, OH 43229-3329

Mailing address

1395 E Dublin Granville Rd Ste 418
Columbus, OH 43229-3329
Phone (614) 826-7448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230105002388 OH Part A Provider - Home Health Agency 4981074044 Practice locations: Columbus, OH

Home health agency certification: CCN 369356

Legal name
ALTERNATIVE HOME HEALTH AGENCY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 18, 2023
Last certification
Jun 8, 2023
Organization structure
LLCProprietary
Incorporated
Sep 27, 2022 in OH
Enrollment address
1395 E Dublin Granville Rd
Ste 418
Columbus, OH 43229-3329

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alternative Home Health Agency LLCCCN 369356
Ownership
-
Certified
Jun 18, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Alternative Home Health Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1495 E Dublin Granville Rd 418B
Columbus, OH 43229

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Omer Mohamed Individual 5% Or Greater Direct Ownership InterestExecutive Director Sep 23, 2022 100%
Corporate OfficerExecutive Director Oct 12, 2022 100%
Corporate DirectorExecutive Director Oct 12, 2022 100%
W-2 Managing EmployeeExecutive Director Oct 12, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1023615978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E DUBLIN GRANVILLE RD STE 418",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293329",
            "telephone_number": "614-826-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E DUBLIN GRANVILLE RD STE 418",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293329",
            "telephone_number": "614-826-7448",
            "fax_number": "614-826-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "OMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-826-7448"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.