Organization Active NPI

Healthcarestar Home Health LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1164984589
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHCARESTAR HOME HEALTH LLC
Practice address
2101 S Hamilton Rd Ste 214
Columbus, OH 43232-4144
Phone
(614) 956-8242
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Samuel Maina
Title
Owner
Phone
(614) 956-8242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2101 S Hamilton Rd Ste 214
Columbus, OH 43232-4144

Mailing address

2101 S Hamilton Rd Ste 214
Columbus, OH 43232-4144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107000188 OH Part A Provider - Home Health Agency 2769814078 Practice locations: Columbus, OH

Home health agency certification: CCN 369267

Legal name
HEALTHCARESTAR HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2021
Last certification
Mar 17, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
2101 S Hamilton Rd
Ste 214
Columbus, OH 43232-4144

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healthcarestar Home Health LLCCCN 369267
Ownership
Proprietary
Certified
Mar 17, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2101 S Hamilton Rd
Ste 214
Columbus, OH 43232
Phone (614) 694-2911

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
Lillian Johnson Individual Corporate DirectorBoard Member/VP/Treasurer Jun 17, 2020 50%
W-2 Managing EmployeeBoard Member/VP/Treasurer Jun 17, 2020 50%
Samuel Maina Individual 5% Or Greater Direct Ownership Interest Mar 29, 2019 100%
Corporate DirectorOwner/Board Dir/Pres./Secretary Mar 29, 2019 50%

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": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1164984589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S HAMILTON RD STE 214",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S HAMILTON RD STE 214",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324144",
            "telephone_number": "614-956-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARESTAR HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-956-8242"
    },
    "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.