Active NPI
Living Faith Home Health Care, LLC
- Home Health Agency
- Centerburg, OH
National Provider Identifier
1053788034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIVING FAITH HOME HEALTH CARE, LLC
- Practice address
- 4581 Columbus Rd
Centerburg, OH 43011-9401 - Phone
- (614) 532-1896
- Fax
- (614) 467-3300
- NPI assigned
- Aug 26, 2015
- 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
- Stacia Sabins
- Title
- Administrator
- Phone
- (614) 440-7723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4581 Columbus Rd
Centerburg, OH 43011-9401
Mailing address
4581 Columbus Rd
Centerburg, OH 43011-9401
Phone (614) 532-1896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151229000660 | OH | Part A Provider - Home Health Agency | 0941501480 | Practice locations: Centerburg, OH |
Home health agency certification: CCN 369158
- Legal name
- LIVING FAITH HOME HEALTH CARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 30, 2016
- Last certification
- Dec 30, 2016
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Aug 20, 2015 in OH
- Enrollment address
- 4581 Columbus Rd
Centerburg, OH 43011-9401
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Living Faith Home Health LLC
- Ownership
- Proprietary
- Certified
- Dec 30, 2016
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2113024 | Living Faith Home Health Care LLC | Certificate of waiver | May 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
104 Mill St
Ste H
Gahanna, OH 43230
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Edward Jackson | 5% Or Greater Direct Ownership Interest | Aug 20, 2015 | 50% |
| Corporate Officer | Aug 20, 2015 | 50% | |
| Corporate Director | Aug 20, 2015 | 50% | |
| W-2 Managing Employee | Aug 20, 2015 | 50% | |
| Stacia Sabins | 5% Or Greater Direct Ownership Interest | Aug 20, 2015 | 50% |
| Corporate Officer | Aug 20, 2015 | 50% | |
| Corporate Director | Aug 20, 2015 | 50% | |
| W-2 Managing Employee | Aug 20, 2015 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1053788034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4581 COLUMBUS RD",
"city": "CENTERBURG",
"state": "OH",
"postal_code": "430119401",
"telephone_number": "614-532-1896",
"fax_number": "614-467-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4581 COLUMBUS RD",
"city": "CENTERBURG",
"state": "OH",
"postal_code": "430119401",
"telephone_number": "614-532-1896",
"fax_number": "614-467-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING FAITH HOME HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-26",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "SABINS",
"authorized_official_first_name": "STACIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "614-440-7723"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.