NPIMap

Organization Active NPI

Raphael Health Care, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1306035886
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RAPHAEL HEALTH CARE, LLC
Practice address
3254 Henderson Rd
Columbus, OH 43220-2377
Phone
(614) 451-7000
Fax
(614) 451-7000
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Mrs. Myung Sook Lee
Title
Owner
Phone
(614) 451-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3254 Henderson Rd
Columbus, OH 43220-2377

Mailing address

3254 Henderson Rd
Columbus, OH 43220-2377
Phone (614) 451-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000198 OH Part A Provider - Home Health Agency 6103905724 Practice locations: Columbus, OH

Home health agency certification: CCN 368364

Legal name
RAPHAEL HEALTH CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 31, 2011
Last certification
Jan 31, 2011
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
in OH
Enrollment address
3254 Henderson Rd
Columbus, OH 43220-2377

Care Compare: Home health agency

Medicare Care Compare
Listed as
Raphael Health Care, LLCCCN 368364
Ownership
Proprietary
Certified
Jan 31, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
36D1078294Raphael Health Care, LLC3254 Henderson Rd, Columbus, OH 43220Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Raphael Health Care LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1151 Bethel Rd
Ste 103B
Columbus, OH 43220

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.

NameRoleSinceShare
Janny Lee Individual Operational/Managerial ControlAdministrator Assitant May 10, 2016 20%
Myung Lee Individual 5% Or Greater Direct Ownership InterestOwner Apr 16, 2008 100%

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1306035886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3254 HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202377",
            "telephone_number": "614-451-7000",
            "fax_number": "614-451-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202377",
            "telephone_number": "614-451-7000",
            "fax_number": "614-451-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MYUNG",
        "authorized_official_middle_name": "SOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-451-7000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.