Active NPI
Family Healthcare Center, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1275683476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 200501200630
- Legal business name
- FAMILY HEALTHCARE CENTER, LLC
- Practice address
- 1150 Morse Rd
Suite # 206
Columbus, OH 43229-6327 - Phone
- (614) 436-6568
- Fax
- (614) 436-3268
- NPI assigned
- Jan 11, 2007
- 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
- Fuad Yussuf
- Title
- Adminstrator
- Phone
- (614) 436-6568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 200501200630 | OH | Primary |
Addresses
Primary practice location
1150 Morse Rd
Suite # 206
Columbus, OH 43229-6327
Mailing address
1150 Morse Rd Ste 206
Columbus, OH 43229-6327
Phone (614) 436-6568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2681469 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050415000851 | OH | Part A Provider - Home Health Agency | 8224075643 | Practice locations: Columbus, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1275683476. Details of each certification follow.
Home health agency certification: CCN 368138
- Legal name
- FAMILY HEALTHCARE CENTER, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 27, 2006
- Last certification
- Oct 4, 2018
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Dec 30, 2004 in OH
- Enrollment address
- 1150 Morse Rd 206
Columbus, OH 43229-6327
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Family Healthcare Center, LLC
- Ownership
- Non-Profit
- Certified
- Jun 27, 2006
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider DirectoryLocations
1110 Morse Rd
Ste 301
Columbus, OH 43229
Phone (614) 207-2167
1150 Morse Rd
Ste 206
Columbus, OH 43229
Phone (614) 436-6568
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 |
|---|---|---|---|
| Fuad Yussuf | 5% Or Greater Direct Ownership Interest | Jun 27, 2006 | 25% |
| W-2 Managing Employee | Jun 27, 2006 | ||
| Mohamed Mohamed | 5% Or Greater Direct Ownership Interest | Dec 30, 2004 | 75% |
| Corporate Director | Apr 16, 2005 | ||
| W-2 Managing Employee | Dec 30, 2004 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472774400000",
"number": "1275683476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 MORSE RD STE 206",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432296327",
"telephone_number": "614-436-6568",
"fax_number": "614-436-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 MORSE RD",
"address_2": "SUITE # 206",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432296327",
"telephone_number": "614-436-6568",
"fax_number": "614-436-3268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHCARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2016-09-02",
"status": "A",
"authorized_official_last_name": "YUSSUF",
"authorized_official_first_name": "FUAD",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "614-436-6568"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "200501200630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2681469",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
- Family First Counseling Center LLC
- Family First Home Health Care, LLC
- Family First Homecare (home health agency)
- Family First Vision Care, LLC
- Family Health Care Center Inc
- Family Med-Mart LLC (Whitehall Pharmacy)
- Family Medicine Foundation LLC
- Family Needs Home Care LLC
- Family Physicians of Columbus Inc
- Family Practice and Pulmonary Consultants, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.