Active NPI
Richard Health Systems
- Home Health Agency
- Toledo, OH
National Provider Identifier
1073668174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1558780
- Legal business name
- RICHARD HEALTH SYSTEMS
- Practice address
- 5237 Renwyck Dr
Toledo, OH 43615-5996 - Phone
- (419) 534-2371
- Fax
- (419) 534-2392
- NPI assigned
- Jan 25, 2007
- 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
- Takang Abunaw
- Title
- Administrator
- Phone
- (419) 534-2371
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Agency | 251E00000X | 1558780 | OH | Primary |
Addresses
Primary practice location
5237 Renwyck Dr
Toledo, OH 43615-5996
Mailing address
5237 Renwyck Dr
Toledo, OH 43615-5996
Phone (419) 534-2371
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000537901 | Other | OH | ANTHEM |
| 7330741 | Other | OH | AETNA |
| 2718456 | Medicaid | OH | |
| 2637454 | Other | OH | PASSPORT MEDICAID |
| 746562 | Other | OH | BUCKEYE COMMUNITY HEALTH |
Other names 1
- RICHARD HEALTH SYSTEMS, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051216000138 | OH | Part A Provider - Home Health Agency | 7416978564 | Practice locations: Toledo, OH |
Home health agency certification: CCN 368166
- Legal name
- RICHARD HEALTH SYSTEMS
- Doing business as
- RICHARD HEALTH SYSTEMS, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 4, 2007
- Last certification
- Sep 15, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 1, 2007 in OH
- Enrollment address
- 5237 Renwyck Dr
Toledo, OH 43615-5996
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Richard Health Systems, LLC
- Ownership
- Proprietary
- Certified
- Jan 4, 2007
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Richard Health Systems
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Toledo, OH
- NPI 1033689856
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 |
|---|---|---|---|
| Takang Abunaw | 5% Or Greater Direct Ownership Interest | Jun 15, 2010 | 100% |
| Corporate Director | Jun 15, 2010 | 100% | |
| Operational/Managerial Control | May 1, 2021 | 100% | |
| Clara Lumpa | Corporate Director | Jul 1, 2010 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1073668174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5237 RENWYCK DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436155996",
"telephone_number": "419-534-2371",
"fax_number": "419-534-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5237 RENWYCK DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436155996",
"telephone_number": "419-534-2371",
"fax_number": "419-534-2392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD HEALTH SYSTEMS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "ABUNAW",
"authorized_official_first_name": "TAKANG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "419-534-2371"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "1558780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000537901",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7330741",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2718456",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT MEDICAID",
"identifier": "2637454",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY HEALTH",
"identifier": "746562",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RICHARD HEALTH SYSTEMS, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RICHARD HEALTH SYSTEMS, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.
- 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.