Active NPI
Flax Flower Home Health Care LLC
- Home Health Agency
- Dayton, OH
National Provider Identifier
1255841508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | OHIO |
Other names 1
- Franklin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Jul 20, 2007
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2140054 | Flax Flower Home Health Care, LLC | Certificate of waiver | Nov 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Keshar Khatiwada | 5% Or Greater Direct Ownership Interest | Nov 28, 2023 | 100% |
| Operational/Managerial Control | Nov 28, 2023 | 95% | |
| Tikam Acharya | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.