Baby Boomers Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BABY BOOMERS HOME HEALTH CARE, LLC

Practice address

2999 E Dublin Granville Rd Ste 304
Columbus, OH 43231-4030

Phone

(614) 888-1100

Fax

(614) 888-1101

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Abdirisak A Yusuf

Title

President

Phone

(614) 772-6990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368290

Legal name

BABY BOOMERS HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 22, 2010

Last certification

Aug 8, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 1, 2019 in OH

Enrollment address

2999 E Dublun Granville Rd
Suite 304
Columbus, OH 43231-4020

Listed as

Baby Boomers Home Health Care, LLCCCN 368290

Ownership

Proprietary

Certified

Jan 22, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1043581572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 E DUBLIN GRANVILLE RD STE 304",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314030",
            "telephone_number": "614-888-1100",
            "fax_number": "614-888-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 E DUBLIN GRANVILLE RD STE 304",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314030",
            "telephone_number": "614-888-1100",
            "fax_number": "614-888-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABY BOOMERS HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "ABDIRISAK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-772-6990"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Babics
• Nancy Babilonia
• Sarah Smith Babka, PA
• Lisabeth Jean Currier Babson, PHD
• Meera Babu, MD
• Baby Boomers Home Health Care,LLC
• Julie Babyak
• Michael Waseer Bacchus
• A'Me Baccus
• Christian Baccus

• All providers in Columbus, OH
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.