Active NPI
Mesa Home Healthcare LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1043074297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MESA HOME HEALTHCARE LLC
- Practice address
- 733 E Dublin Granville Rd Ste 20
Columbus, OH 43229-3200 - Phone
- (619) 707-3555
- NPI assigned
- Feb 8, 2024
- 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
- Fadumo A Jama
- Title
- Admin
- Phone
- (619) 707-3555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
733 E Dublin Granville Rd Ste 20
Columbus, OH 43229-3200
Mailing address
733 E Dublin Granville Rd Ste 20
Columbus, OH 43229-3200
Phone (619) 707-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240821000169 | OH | Part A Provider - Home Health Agency | 8123566221 | Practice locations: Columbus, OH |
Home health agency certification: CCN 369427
- Legal name
- MESA HOME HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 5, 2025
- Last certification
- Nov 12, 2025
- Organization structure
- LLC
- Incorporated
- Feb 6, 2024 in OH
- Enrollment address
- 733 E Dublin Granville Rd
Ste 20
Columbus, OH 43229-3200
National Provider Directory
National Provider DirectoryLocations
733 E Dublin Granville Rd
Ste 20
Columbus, OH 43229
Phone (619) 707-3555
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Fadumo Jama | Contracted Managing Employee | Feb 6, 2024 | 30% |
| 5% Or Greater Direct Ownership Interest | Feb 6, 2024 | 30% | |
| 5% Or Greater Indirect Ownership Interest | Feb 6, 2024 | 30% | |
| 5% Or Greater Mortgage Interest | Feb 6, 2024 | 30% | |
| 5% Or Greater Security Interest | Feb 6, 2024 | 30% | |
| General Partnership Interest | Feb 6, 2024 | 30% | |
| Limited Partnership Interest | Feb 6, 2024 | 30% | |
| Corporate Officer | Feb 6, 2024 | 30% | |
| Corporate Director | Feb 6, 2024 | 30% | |
| W-2 Managing Employee | Feb 6, 2024 | 30% | |
| Operational/Managerial Control | Feb 6, 2024 | ||
| Omar Aden | Contracted Managing Employee | Feb 6, 2024 | 30% |
| 5% Or Greater Direct Ownership Interest | Feb 6, 2024 | 30% | |
| 5% Or Greater Indirect Ownership Interest | Feb 6, 2024 | 30% | |
| 5% Or Greater Mortgage Interest | Feb 6, 2024 | 30% | |
| 5% Or Greater Security Interest | Feb 6, 2024 | 30% | |
| General Partnership Interest | Feb 6, 2024 | 30% | |
| Limited Partnership Interest | Feb 6, 2024 | 30% | |
| Corporate Officer | Feb 6, 2024 | 30% | |
| Corporate Director | Feb 6, 2024 | 30% | |
| W-2 Managing Employee | Feb 6, 2024 | 30% | |
| Sheriff Nurre | Contracted Managing Employee | Feb 6, 2024 | 40% |
| 5% Or Greater Direct Ownership Interest | Feb 6, 2024 | 40% | |
| 5% Or Greater Indirect Ownership Interest | Feb 6, 2024 | 40% | |
| 5% Or Greater Mortgage Interest | Feb 6, 2024 | 40% | |
| 5% Or Greater Security Interest | Feb 6, 2024 | 40% | |
| General Partnership Interest | Feb 6, 2024 | 40% | |
| Limited Partnership Interest | Feb 6, 2024 | 40% | |
| Corporate Officer | Feb 6, 2024 | 40% | |
| Corporate Director | Feb 6, 2024 | 40% | |
| W-2 Managing Employee | Feb 6, 2024 | 40% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1043074297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 E DUBLIN GRANVILLE RD STE 20",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293200",
"telephone_number": "619-707-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 E DUBLIN GRANVILLE RD STE 20",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293200",
"telephone_number": "619-707-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "JAMA",
"authorized_official_first_name": "FADUMO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "619-707-3555"
},
"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 Feb 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.