Complex Care Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPLEX CARE HOME HEALTH LLC

Practice address

75 East Wilson Brigde Road
Suit C6 Office 1
Worthington, OH 43085-4846

Phone

(740) 803-2460

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Miss Suaad KureNPI 1861703167

Title

Owner

Phone

(740) 803-2460

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369341

Legal name

COMPLEX CARE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 12, 2023

Last certification

Jan 12, 2023

Organization structure

LLCProprietary

Incorporated

Dec 11, 2019 in OH

Enrollment address

75 East Wilson-Bridge Rd
Ste C6 Office 1
Worthington, OH 43085
HHA Branch

Listed as

Complex Care Home Health LLCCCN 369341

Ownership

-

Certified

Jan 12, 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

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.

• Suaad Kure, LPN

  • Licensed Practical Nurse
  • Lewis Center, OH
  • NPI 1861703167
  NPD Authorized official

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1255979993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EAST WILSON BRIGDE ROAD",
            "address_2": "SUIT C6 OFFICE 1",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854846",
            "telephone_number": "740-803-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EAST WILSON BRIGDE ROAD",
            "address_2": "SUIT C6 OFFICE 1",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854846",
            "telephone_number": "740-803-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "KURE",
        "authorized_official_first_name": "SUAAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-803-2460",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DODD",
            "identifier": "0030103",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0426606",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "369341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Worthington, OH
• Providers in Worthington, 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 Jul 24, 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.