1St Choice Home Healthcare, LLC
Organization Active NPI Home Health Agency · Columbus, OH
NPI 1235684226 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1235684226
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- 1ST CHOICE HOME HEALTHCARE, LLC
- Practice address
- 5900 Roche Dr Ste LL-22
Columbus, OH 43229-3272 - Phone
- (619) 252-6739
- NPI assigned
- Aug 18, 2016
- Organization subpart
- No
Authorized official
- Name
- Ahmed Ahmed
- Title
- Ceo
- Phone
- (619) 252-6739
Medicare Care Compare: Home health agency
- Listed as
- 1St Choice Home Healthcare LLC
- Ownership
- Proprietary
- Certified
- Sep 24, 2021
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Home health agency certification: CCN 369276
- Legal name
- 1ST CHOICE HOME HEALTHCARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 24, 2021
- Last certification
- Sep 24, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 15, 2016 in OH
- Enrollment address
- 5900 Roche Dr
Ste LL-22
Columbus, OH 43231-6100
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Ahmed Ahmed |
5% Or Greater Direct Ownership Interest |
Jul 28, 2020 | 100% |
| 5% Or Greater Indirect Ownership Interest |
Jul 28, 2020 | 100% | |
| W-2 Managing Employee |
Jul 28, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200911002668 | OH | Part a Provider - Home Health Agency | 9830472612 | Practice locations: Columbus, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
5900 Roche Dr Ste LL-22
Columbus, OH 43229-3272
Mailing address
5900 Roche Dr Ste LL-22
Columbus, OH 43229-3272
Phone (619) 252-6739
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.