NPIMap

Organization Active NPI

Heart of Ohio Family Health Centers

Doing business as Heart of Ohio Family Health at Mount Carmel

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
National Provider Identifier
1033752688
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEART OF OHIO FAMILY HEALTH CENTERS
Doing business as
Heart of Ohio Family Health at Mount Carmel
Practice address
5969 E Broad St Ste 300
Columbus, OH 43213-1539
Phone
(614) 235-5555
Fax
(614) 536-1994
NPI assigned
Oct 25, 2019
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HEART OF OHIO FAMILY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
M. Buhari Mohammed
Title
Chief Executive Officer
Phone
(614) 338-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5969 E Broad St Ste 300
Columbus, OH 43213-1539

Mailing address

PO Box 632127
Cincinnati, OH 45263-2127
Phone (614) 235-5555

Other names 1

  • Heart of Ohio Family Health at Mount Carmel Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080903000159 OH Part B Supplier - Public Health/Welfare Agency 7416039839 Receives reassigned benefits from 55 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canal Winchester, OH; Columbus, OH; Westerville, OH
O20191216002092 OH Part A Provider - Federally Qualified Health Center (FQHC) 7416039839 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033752688. Details of each certification follow.

Federally qualified health center certification: CCN 721829

Legal name
HEART OF OHIO FAMILY HEALTH CENTERS
Doing business as
HEART OF OHIO FAMILY HEALTH AT MOUNT CARMEL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 18, 2019
Last certification
Dec 18, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 3, 2007 in OH
Enrollment address
5969 E Broad St
Ste 306
Columbus, OH 43213-1539

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Heart of Ohio Family Health Centers11 organizations share this tax ID, including this one
Part of
Heart of Ohio Family Health Centers

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Rita Corbin Individual Corporate DirectorBoard Member Feb 27, 2008
Maureen Black Individual Corporate DirectorBoard Member May 1, 2021
Yammah Morgan Individual Corporate OfficerCoo Aug 1, 2017
W-2 Managing EmployeeCoo Aug 1, 2017
Julie Friedlander Individual Corporate DirectorBoard Member Oct 1, 2019
Gloria Coyan Individual Corporate Director Dec 1, 2015
Angelita Thomas Individual W-2 Managing EmployeeCfo Nov 5, 2018
Mohammed Buhari Mohammed Individual Corporate OfficerCeo Apr 1, 2018
W-2 Managing EmployeeCeo Apr 1, 2018

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1033752688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632127",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632127",
            "telephone_number": "614-235-5555",
            "fax_number": "614-536-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131539",
            "telephone_number": "614-235-5555",
            "fax_number": "614-536-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF OHIO FAMILY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART OF OHIO FAMILY HEALTH CENTERS",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "M. BUHARI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-338-6818"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Ohio Family Health at Mount Carmel",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart of Ohio Family Health at Mount Carmel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.