Organization Active NPI

Essential Care Partners LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1114222841
Registry record updated Feb 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ESSENTIAL CARE PARTNERS LLC
Practice address
700 Morse Rd
Ste 101
Columbus, OH 43214-1879
Phone
(614) 844-4774
Fax
(614) 448-4395
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2014

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

Authorized official

Name
Mr. Jibril Mohamed
Title
Administrator
Phone
61448444774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

700 Morse Rd
Ste 101
Columbus, OH 43214-1879

Mailing address

700 Morse Rd
Ste 101
Columbus, OH 43214-1879
Phone (614) 844-4774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000319 OH Part A Provider - Home Health Agency 7517143647 Practice locations: Columbus, OH

Home health agency certification: CCN 369059

Legal name
ESSENTIAL CARE PARTNERS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 13, 2014
Last certification
Dec 12, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 4, 2011 in OH
Enrollment address
700 Morse Road
Suite 101
Columbus, OH 43214-1879

Care Compare: Home health agency

Medicare Care Compare
Listed as
Essential Care Partners, LLCCCN 369059
Ownership
Proprietary
Certified
Feb 13, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
36D2040662Essential Care Partners LLC700 Morse Road Suite 101, Columbus, OH 43214Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

700 Morse Rd
Ste 101
Columbus, OH 43214
Phone (614) 733-8114

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
Abdikhayr Soofe Individual 5% Or Greater Direct Ownership Interest Mar 24, 2011
W-2 Managing Employee Mar 24, 2011
Jibril Mohamed Individual 5% Or Greater Direct Ownership Interest Mar 24, 2011

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392422400000",
    "number": "1114222841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MORSE RD",
            "address_2": "STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141879",
            "telephone_number": "614-844-4774",
            "fax_number": "614-448-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MORSE RD",
            "address_2": "STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141879",
            "telephone_number": "614-844-4774",
            "fax_number": "614-448-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2014-02-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "JIBRIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "61448444774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.