Organization Active NPI

Hope Health Homecare LLC

  • Home Health Agency
  • Euclid, OH
National Provider Identifier
1245881390
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOPE HEALTH HOMECARE LLC
Practice address
25000 Euclid Ave Ste 105
Euclid, OH 44117-2621
Phone
(216) 539-2712
Fax
(216) 539-1440
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Khadar Osman
Title
Owner
Phone
(614) 599-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

25000 Euclid Ave Ste 105
Euclid, OH 44117-2621

Mailing address

4320 Mayfield Rd Ste 206
South Euclid, OH 44121-3601
Phone (614) 599-5734

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219002337 OH Part A Provider - Home Health Agency 0042644387 Practice locations: Euclid, OH

Home health agency certification: CCN 369244

Legal name
HOPE HEALTH HOMECARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 10, 2020
Last certification
Sep 10, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 18, 2019 in OH
Enrollment address
25000 Euclid Ave
Ste 105
Euclid, OH 44117-2621
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hope Health Homecare LLCCCN 369244 · All quality measures
Ownership
Proprietary
Certified
Sep 10, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

25000 Euclid Ave
Ste 105
Euclid, OH 44117
Phone (216) 539-2712

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.

NameRoleSinceShare
Khadar Osman Individual Contracted Managing Employee Sep 18, 2019 100%
5% Or Greater Direct Ownership InterestOwner/General Manager Sep 18, 2019 100%
5% Or Greater Indirect Ownership Interest Sep 18, 2019 100%
5% Or Greater Mortgage Interest Sep 18, 2019 100%
5% Or Greater Security Interest Sep 18, 2019 100%
General Partnership Interest Sep 18, 2019 100%
Limited Partnership Interest Sep 18, 2019 100%
Corporate Officer Sep 18, 2019
Corporate Director Sep 18, 2019 100%
W-2 Managing Employee Sep 18, 2019 100%
Operational/Managerial Control Sep 18, 2019 100%
Other Sep 18, 2019

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1245881390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 MAYFIELD RD STE 206",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213601",
            "telephone_number": "614-599-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 105",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172621",
            "telephone_number": "216-539-2712",
            "fax_number": "216-539-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HEALTH HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "KHADAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-599-5734"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.