Organization Active NPI

Icare Health Services LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1083954002
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ICARE HEALTH SERVICES LLC
Practice address
5200 Cleveland Ave Ste D
Columbus, OH 43231-4756
Phone
(614) 896-8100
Fax
(614) 896-8101
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Zainab MohammedNPI 1952597353
Title
Administrator
Phone
(614) 596-0299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5200 Cleveland Ave Ste D
Columbus, OH 43231-4756

Mailing address

5200 Cleveland Ave Ste D
Columbus, OH 43231-4756
Phone (614) 896-8100

Other identifiers 1

IdentifierTypeStateIssuer
0102315MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130524000424 OH Part A Provider - Home Health Agency 6305084740 Practice locations: Columbus, OH; Mansfield, OH

Home health agency certification: CCN 369063

Legal name
ICARE HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 10, 2014
Last certification
Jun 19, 2019
Ownership / control type
Government Operated
Organization structure
LLCProprietary
Incorporated
Jan 22, 2013 in OH
Enrollment address
5200 Cleveland Ave
Ste D
Columbus, OH 43231-4756
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Icare Health Services LLCCCN 369063 · All quality measures
Ownership
Government Operated
Certified
Feb 10, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Icare Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5200 Cleveland Ave
Ste D
Columbus, OH 43231
Phone (614) 896-8100

120 Sturges Ave
Ste 2
Mansfield, OH 44903
Phone (419) 525-4620

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
Zainab Mohammed Individual Corporate DirectorDirector of Nursing Jan 18, 2013
W-2 Managing EmployeeDirector of Nursing Jan 18, 2013
Kamal Mohammed Individual 5% Or Greater Direct Ownership InterestPresident Aug 14, 2020 100%
Corporate OfficerTreasury Aug 14, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1083954002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CLEVELAND AVE STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314756",
            "telephone_number": "614-896-8100",
            "fax_number": "614-896-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CLEVELAND AVE STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314756",
            "telephone_number": "614-896-8100",
            "fax_number": "614-896-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ZAINAB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-596-0299"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.