Organization Active NPI

Toledo Home Health Services LLC

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1275959223
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TOLEDO HOME HEALTH SERVICES LLC
Practice address
5810 Southwyck Blvd Ste 203C
Toledo, OH 43614-1545
Phone
(419) 214-1111
NPI assigned
Mar 14, 2014
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Mohamed Ibrahim
Title
Owner
Phone
(419) 214-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5810 Southwyck Blvd Ste 203C
Toledo, OH 43614-1545

Mailing address

5810 Southwyck Blvd Ste 203C
Toledo, OH 43614-1545
Phone (419) 214-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140613002212 OH Part A Provider - Home Health Agency 4183848120 Practice locations: Toledo, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275959223. Details of each certification follow.

Home health agency certification: CCN 369134

Legal name
TOLEDO HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 6, 2016
Last certification
Dec 17, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 3, 2014 in OH
Enrollment address
5810 Southwyck Blvd
Ste 203C
Toledo, OH 43614-1545

Care Compare: Home health agency

Medicare Care Compare
Listed as
Toledo Home Health Services LLCCCN 369134 · All quality measures
Ownership
Proprietary
Certified
Apr 6, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2087265Toledo Home Health Services, LLC5810 Southwyck Blvd, Ste 203C, Toledo, OH 43614Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

Locations

5810 Southwyck Blvd
Ste 203C
Toledo, OH 43614
Phone (419) 214-1111

Ownership & related parties

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.

NameRoleSinceShare
Mohamed Ibrahim Individual 5% Or Greater Direct Ownership Interest Apr 18, 2019 100%
W-2 Managing EmployeeAdministrator Manager Jul 6, 2017 100%

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1275959223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 SOUTHWYCK BLVD STE 203C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141545",
            "telephone_number": "419-214-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 SOUTHWYCK BLVD STE 203C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141545",
            "telephone_number": "419-214-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-214-1111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.