Full-Care Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1692576 Issued in OH

Legal business name

FULL-CARE HOME HEALTH LLC

Practice address

1395 E Dublin Granville Rd
Ste 400
Columbus, OH 43229-3313

Phone

(614) 476-8310

Fax

(614) 476-8625

NPI assigned

May 21, 2008

Organization subpart

No

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

Authorized official

Name

Abdirizak HassanNPI 1497912976

Title

Owner

Phone

(614) 476-8310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368243

Legal name

FULL-CARE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 27, 2009

Last certification

May 3, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 17, 2007 in OH

Enrollment address

1395 E Dublin Granville Rd
Ste 400
Columbus, OH 43229

Listed as

Full-Care Home Health, LLCCCN 368243

Ownership

Proprietary

Certified

Apr 27, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdirizak Hassan

  • Home Health Agency
  • Columbus, OH
  • NPI 1497912976
  NPD Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1184881666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 E DUBLIN GRANVILLE RD",
            "address_2": "STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293313",
            "telephone_number": "614-476-8310",
            "fax_number": "614-476-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E DUBLIN GRANVILLE RD",
            "address_2": "STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293313",
            "telephone_number": "614-476-8310",
            "fax_number": "614-476-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL-CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-476-8310"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1692576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.