Centennial Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3969539 Issued in OH

Legal business name

CENTENNIAL HOME CARE, LLC

Practice address

1010 Jackson Hole Dr Ste 200
Blacklick, OH 43004-6051

Phone

(614) 316-7995

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Leigh Miltimore

Title

Director of Compliance

Phone

(502) 257-9869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369232

Legal name

CENTENNIAL HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 10, 2020

Last certification

Mar 10, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 14, 2016 in OH

Enrollment address

6740 Huntley Rd
Ste 208
Columbus, OH 43229-1037
HHA Branch

Listed as

Centennial Home Care LLCCCN 369232

Ownership

Proprietary

Certified

Mar 10, 2020

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.

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1194260844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JACKSON HOLE DR STE 200",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430046051",
            "telephone_number": "614-316-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JACKSON HOLE DR STE 200",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430046051",
            "telephone_number": "614-316-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "MILTIMORE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "502-257-9869"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "3969539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Blacklick, OH
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• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.