Elite Home Comfort Care LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ELITE HOME COMFORT CARE LLC

Practice address

1611 Woodland Ave
Columbus, OH 43219-1135

Phone

(773) 817-5088

Fax

(614) 252-7181

NPI assigned

Jul 17, 2023

Last updated

Nov 22, 2023By 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

Hassan Adam, CEO

Title

Ceo

Phone

(773) 817-5088

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 1265111314. Details of each certification follow.

• CCN 369433 Home health agency · Active · Details

Home health agency certification: CCN 369433

Legal name

ELITE HOME COMFORT CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 11, 2026

Last certification

Dec 31, 2025

Organization structure

LLCProprietary

Enrollment address

2021 E Dublin Granville Rd
Ste 132
Columbus, OH 43229-3568
HHA Branch

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 1

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

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1265111314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E DUBLIN GRANVILLE RD STE 132",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "773-817-5088",
            "fax_number": "614-252-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WOODLAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191135",
            "telephone_number": "773-817-5088",
            "fax_number": "614-252-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-817-5088",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.