Organization Active NPI

United Health Care, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1154079010
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNITED HEALTH CARE, LLC
Practice address
3242 Westerville Rd RM 13
Columbus, OH 43224-3749
Phone
(614) 335-9258
NPI assigned
Mar 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Mrs. Hodan Mohamed Nur
Title
Executive Director
Phone
(614) 335-9258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3242 Westerville Rd RM 13
Columbus, OH 43224-3749

Mailing address

3242 Westerville Rd RM 13
Columbus, OH 43224-3749
Phone (614) 335-9258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220630002433 OH Part A Provider - Home Health Agency 6507246071 Practice locations: Columbus, OH

Home health agency certification: CCN 369416

Legal name
UNITED HEALTH CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 19, 2024
Last certification
May 9, 2024
Organization structure
LLCProprietary
Incorporated
Mar 10, 2022 in OH
Enrollment address
1495 Morse Rd
Ste 203
Columbus, OH 43229-6434

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
36D2289514United Health Care LLC1495 Morse Road, Suite #203, Columbus, OH 43229Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

3242 Westerville Rd
Rm 13
Columbus, OH 43224
Phone (614) 335-9258

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
Hodan Nur Individual 5% Or Greater Direct Ownership InterestExecutive Director Mar 23, 2022 50%
Corporate OfficerExecutive Director Mar 23, 2022 50%
Corporate DirectorExecutive Director Mar 23, 2022 50%
Surer Dirir Individual 5% Or Greater Direct Ownership InterestAssistant Administrator Mar 23, 2022 50%
Corporate OfficerAssistant Administrator Mar 23, 2022 50%
W-2 Managing EmployeeAssistant Administrator Mar 23, 2022 50%

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1154079010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 WESTERVILLE RD RM 13",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243749",
            "telephone_number": "614-335-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 WESTERVILLE RD RM 13",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243749",
            "telephone_number": "614-335-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "HODAN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-335-9258",
        "authorized_official_name_prefix": "Mrs."
    },
    "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.