Home Care Village, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

200933600808 Issued in OH

Legal business name

HOME CARE VILLAGE, LLC

Practice address

1495 Morse Rd Ste 108
Columbus, OH 43229-6434

Phone

(614) 441-8851

Fax

(614) 364-4025

NPI assigned

Dec 5, 2009

Organization subpart

No

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

Authorized official

Name

Omar Qalinle

Title

Administrator

Phone

(952) 688-3268

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Home Care Village, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368388

Legal name

HOME CARE VILLAGE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 3, 2011

Last certification

Mar 17, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 3, 2009 in OH

Enrollment address

1495 Morse Rd
Ste 108
Columbus, OH 43229-6434

Listed as

Home Care Village, LLCCCN 368388

Ownership

Proprietary

Certified

Oct 3, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hakeem Malin, DNP, PRACTITIONER

  • Gerontology Nurse Practitioner
  • Columbus, OH
  • NPI 1508397860
  NPD

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

{
    "created_epoch": "1259971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1295063063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD STE 108",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296434",
            "telephone_number": "614-441-8851",
            "fax_number": "614-364-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD STE 108",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296434",
            "telephone_number": "614-441-8851",
            "fax_number": "614-364-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-05",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "QALINLE",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-688-3268"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "200933600808",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Village, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruthann Holzhauser, M.D.
• Theresa Marie Hom, DO
• Jessica Homan, MSW, LISW-S
• Shannon Homan, LSW
• Stephanie Homan
• Home Comfort Health Care LLC
• Home for All L.P.
• Home Harmony ABA Oh LLC
• Home Health Care Alliance of Ohio LLC.
• Home Healthcare by Black Stone of Central Ohio, LLC

• 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 Sep 17, 2025; 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.