Organization Active NPI

Advance Home Care LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1174810055
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2024422 Issued in OH
Legal business name
ADVANCE HOME CARE LLC
Practice address
1191 South James Rd
Columbus, OH 43227
Phone
(614) 436-3611
Fax
(614) 436-3813
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Sead M Mohamed
Title
C.E.O
Phone
(614) 436-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2024422 OH Primary

Addresses

Primary practice location

1191 South James Rd
Columbus, OH 43227

Mailing address

1191 South James Rd
Columbus, OH 43227
Phone (614) 436-3611

Other names 1

  • ADVANCE HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

14 S Paint St
Ste 32
Chillicothe, OH 45601
Phone (740) 851-6351

1150 Morse Rd
Ste 106
Columbus, OH 43229
Phone (614) 377-0399

1250 W Dorothy Ln
Ste 312
Kettering, OH 45409
Phone (937) 723-6335

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1174810055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 SOUTH JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43227",
            "telephone_number": "614-436-3611",
            "fax_number": "614-436-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 SOUTH JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43227",
            "telephone_number": "614-436-3611",
            "fax_number": "614-436-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SEAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "614-436-3611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2024422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.