Organization Active NPI

Hopehealth LTD

  • Home Health Agency
  • Worthington, OH
National Provider Identifier
1114481405
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOPEHEALTH LTD
Practice address
77 E Wilson Bridge Rd Ste 105
Worthington, OH 43085-2324
Phone
(614) 216-1085
Fax
(614) 610-1602
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Mr. Macdonald M Lubago, RNNPI 1285083535
Title
Owner
Phone
(614) 216-1085

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

77 E Wilson Bridge Rd Ste 105
Worthington, OH 43085-2324

Mailing address

77 E Wilson Bridge Rd Ste 105
Worthington, OH 43085-2324
Phone (614) 505-9558

Other identifiers 1

IdentifierTypeStateIssuer
369231MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913002531 OH Part A Provider - Home Health Agency 3577892694 Practice locations: Ashland, OH; Worthington, OH

Home health agency certification: CCN 369231

Legal name
HOPEHEALTH LTD
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 15, 2020
Last certification
Mar 15, 2020
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Incorporated
Jul 18, 2018 in OH
Enrollment address
77 E Wilson Bridge Rd
Ste 105
Worthington, OH 43085-2324
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hopehealth LTDCCN 369231 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Mar 15, 2020
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
36D2165333Hopehealth LTD77 E Wilson Bridge Rd, Worthington, OH 43085Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

77 E Wilson Bridge Rd
Ste 111
Worthington, OH 43085
Phone (614) 216-1085

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Macdonald Lubago Individual 5% Or Greater Direct Ownership Interest Jan 30, 2019
W-2 Managing EmployeeDirector of Nursing Jan 30, 2019 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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1114481405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E WILSON BRIDGE RD STE 105",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852324",
            "telephone_number": "614-505-9558",
            "fax_number": "614-610-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E WILSON BRIDGE RD STE 105",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852324",
            "telephone_number": "614-216-1085",
            "fax_number": "614-610-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEHEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "LUBAGO",
        "authorized_official_first_name": "MACDONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-216-1085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.