Active NPI
Alternative Home Health Agency LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1023615978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- -
- Certified
- Jun 18, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Alternative Home Health Agency LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Columbus, OH
- NPI 1659143345
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Omer Mohamed | 5% Or Greater Direct Ownership Interest | Sep 23, 2022 | 100% |
| Corporate Officer | Oct 12, 2022 | 100% | |
| Corporate Director | Oct 12, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.