Alta Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALTA HOME HEALTH CARE, LLC

Practice address

904 S Hamilton Rd Unit 9
Columbus, OH 43213-3003

Phone

(614) 891-2582

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Derrick Pena

Title

Managing Member

Phone

(614) 891-2582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368211

Legal name

ALTA HOME HEALTH CARE LLC

Doing business as

ALTA HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 28, 2007

Last certification

Apr 24, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 15, 2006 in OH

Enrollment address

904 S Hamilton Rd
Columbus, OH 43213-3003

Listed as

Alta Home Health Care, LLCCCN 368211 · All quality measures

Ownership

Proprietary

Certified

Nov 28, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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

Practitioners 1

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

• Aisha Sethi, M.D

  • Dermatology Physician
  • Gurnee, IL
  • NPI 1568477222
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1033249958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133003",
            "telephone_number": "614-891-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S HAMILTON RD UNIT 9",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133003",
            "telephone_number": "614-891-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-891-2582"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Alsuhebani, MD
• Derrien Alsup
• Isaac Alsup
• Natalie M Alsup, DMD
• Alta Home Health Care LLC
• Alta Wellcare LLC
• Khaled Altabtbaei
• Maram Altaher
• Taylor Kathleen Alten, PA-C
• Alexander Patrick Alter, PHARMD

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.

Verify at the official NPI Registry.