Active NPI
Living Life Home Care LLC
- Home Health Agency
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2126391
- Legal business name
- LIVING LIFE HOME CARE LLC
- Practice address
- 2323 Lake Club Dr Ste 102
Columbus, OH 43232-3198 - Phone
- (614) 322-3210
- Fax
- (614) 322-9214
- NPI assigned
- Mar 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebenezer A Mensah-Addison
- Title
- Nurse
- Phone
- (614) 322-9210
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2126391 | OH | Primary |
Addresses
Primary practice location
2323 Lake Club Dr Ste 102
Columbus, OH 43232-3198
Mailing address
2323 Lake Club Dr
Suite 102
Columbus, OH 43232-3198
Phone (614) 322-9210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131025001524 | OH | Part A Provider - Home Health Agency | 1052546157 | Practice locations: Columbus, OH |
Home health agency certification: CCN 369102
- Legal name
- LIVING LIFE HOME CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 10, 2015
- Last certification
- Apr 26, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Aug 7, 2012 in OH
- Enrollment address
- 2323 Lake Club Dr
Ste 102
Columbus, OH 43232-3198
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Living Life Homecare LLC
- Ownership
- Proprietary
- Certified
- Jan 10, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
6515 E Livingston Ave
Ste B9
Reynoldsburg, OH 43068
Phone (614) 439-1731
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ebenezer a Mensah-Addison | 5% Or Greater Indirect Ownership Interest | Aug 7, 2012 | 100% |
| General Partnership Interest | Aug 7, 2012 | 100% | |
| Limited Partnership Interest | Aug 7, 2012 | 100% | |
| Corporate Officer | Aug 7, 2012 | 100% | |
| Corporate Director | Aug 7, 2012 | 100% | |
| W-2 Managing Employee | Aug 7, 2012 | 100% | |
| Operational/Managerial Control | Aug 7, 2012 | 100% | |
| Other | Aug 7, 2012 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Pickerington, OH
- NPI 1013324185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1194066795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 LAKE CLUB DR",
"address_2": "SUITE 102",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432323198",
"telephone_number": "614-322-9210",
"fax_number": "614-322-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 LAKE CLUB DR STE 102",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432323198",
"telephone_number": "614-322-3210",
"fax_number": "614-322-9214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING LIFE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-06",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "MENSAH-ADDISON",
"authorized_official_first_name": "EBENEZER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "NURSE",
"authorized_official_telephone_number": "614-322-9210"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "2126391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Christian John Livengood, PHARMD
- Dianna Alicia Livengood, FNP-C
- Lance Thomas Livi, AA
- Living Hope Primary Health Care,LLC
- Living Independent Futures Everyday
- Living Life Homecare II LLC
- Living-Water Healthcare Services LLC.
- Living-Water Plus Healthcare Services LLC
- Livingston Lockbourne Ave Family Health Center
- Livingston Lockbourne Home Health Agency
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.