Organization Active NPI

Living Faith Home Health Care, LLC

  • Home Health Agency
  • Centerburg, OH
National Provider Identifier
1053788034
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 27, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 369158
Ownership
Proprietary
Certified
Dec 30, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2113024Living Faith Home Health Care LLC4581 Columbus Road, Centerburg, OH 43011Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Edward Jackson Individual 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 Individual 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

Verify at the official NPI Registry.