His Grace Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HIS GRACE HOME HEALTH CARE, LLC

Practice address

1415 E Dublin Granville Rd Ste 204
Columbus, OH 43229-3311

Phone

(614) 556-1079

NPI assigned

Sep 14, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ola Thomas

Title

Ceo

Phone

(614) 556-1079

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255946497. Details of each certification follow.

• CCN 369358 Home health agency · Active · Details

Home health agency certification: CCN 369358

Legal name

HIS GRACE HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 14, 2023

Last certification

Sep 7, 2023

Organization structure

LLCProprietary

Incorporated

Aug 25, 2020 in OH

Enrollment address

1415 E Dublin Granville Rd
Ste 204
Columbus, OH 43229-3311

Listed as

His Grace Home Health Care LLCCCN 369358 · All quality measures

Ownership

-

Certified

Sep 14, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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, and the practitioner matching its NPPES authorized official.

• Olaimatu Thomas, RN

  • Home Health Registered Nurse
  • Columbus, OH
  • NPI 1912286162
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1255946497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E DUBLIN GRANVILLE RD STE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293311",
            "telephone_number": "614-556-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E DUBLIN GRANVILLE RD STE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293311",
            "telephone_number": "614-556-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "OLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-556-1079"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas L Hirt, DPT
• Kristina L Hirt, PHARMD
• Anirudh Ajay Hirve, MD
• His & Her Mindset Wellness Collective
• His Grace Healthcare LLC
• His Grace Medical
• His Grace Medical LLC
• Alicia Marie Hisey, FNP-C
• Gracie Ann Hisey
• Meghan M Hiss, AU.D., CCC-A

• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.