Organization Active NPI

Flax Flower Home Health Care LLC

  • Home Health Agency
  • Dayton, OH
National Provider Identifier
1255841508
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLAX FLOWER HOME HEALTH CARE LLC
Doing business as
Franklin
Practice address
201 Riverside Dr Ste 2J
Dayton, OH 45405-4963
Phone
(937) 567-0978
Fax
(937) 567-0981
NPI assigned
Oct 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Amina A. Said
Title
Administator
Phone
(614) 999-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

201 Riverside Dr Ste 2J
Dayton, OH 45405-4963

Mailing address

1425 E Dublin Granville Rd Ste 106
Columbus, OH 43229-3332
Phone (614) 396-7123

Other identifiers 1

IdentifierTypeStateIssuer
0000000OtherOHIO

Other names 1

  • Franklin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180420000544 OH Part A Provider - Home Health Agency 3678836889 Practice locations: Dayton, OH

Home health agency certification: CCN 369215

Legal name
FLAX FLOWER HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2007
Last certification
Jul 7, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 31, 2017 in OH
Enrollment address
201 Riverside Dr
Ste 2J
Dayton, OH 45405-4963

Care Compare: Home health agency

Medicare Care Compare
Listed as
Flax Flower Home Health Care LLCCCN 369215
Ownership
Proprietary
Certified
Jul 20, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2140054Flax Flower Home Health Care, LLC201 Riverside Dr, Suite 2J, Dayton, OH 45405Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory

Locations

201 Riverside Dr
Ste 2J
Dayton, OH 45405
Phone (937) 567-0978

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Keshar Khatiwada Individual 5% Or Greater Direct Ownership Interest Nov 28, 2023 100%
Operational/Managerial Control Nov 28, 2023 95%
Tikam Acharya Individual Operational/Managerial Control Nov 28, 2023 5%

NPI Registry JSON

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1255841508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD STE 106",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293332",
            "telephone_number": "614-396-7123",
            "fax_number": "614-396-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERSIDE DR STE 2J",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054963",
            "telephone_number": "937-567-0978",
            "fax_number": "937-567-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAX FLOWER HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-01",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "AMINA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "614-999-5172"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franklin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.