Healthy Life Home Healthcare,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY LIFE HOME HEALTHCARE,LLC

Practice address

5454 Cleveland Ave Ste 202
Columbus, OH 43231-4021

Phone

(614) 865-3368

Fax

(614) 865-3372

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Peter Arhin, RNNPI 1801069349

Title

Administrator

Phone

(614) 865-3368

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368344

Legal name

HEALTHY LIFE HOME HEALTHCARE,LLC

Doing business as

HEALTHY LIFE HOME HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 24, 2010

Last certification

May 30, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

5454 Cleveland Avenue
Suite 202
Columbus, OH 43231-4021

Listed as

Healthy Life Home Healthcare, LLCCCN 368344

Ownership

Proprietary

Certified

Nov 24, 2010

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.

• Peter Arhin, RN

  • Registered Nurse
  • Columbus, OH
  • NPI 1801069349
  NPD Authorized official

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1245568708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 CLEVELAND AVE STE 202",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314021",
            "telephone_number": "614-865-3368",
            "fax_number": "614-865-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 CLEVELAND AVE STE 202",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314021",
            "telephone_number": "614-865-3368",
            "fax_number": "614-865-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE HOME HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "ARHIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-865-3368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.