Optimum Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMUM HOME HEALTH CARE LLC

Practice address

5900 N High St
Suite 210
Worthington, OH 43085-3956

Phone

(614) 846-8833

NPI assigned

Oct 29, 2009

Last updated

Jun 30, 2016By 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

Omar A Aden, ECONOMIST

Title

Ceo

Phone

(614) 846-8833

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306172051. Details of each certification follow.

• CCN 368359 Home health agency · Active · Details

Home health agency certification: CCN 368359

Legal name

OPTIMUM HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 8, 2011

Last certification

Nov 6, 2019

Ownership / control type

Proprietary

Organization structure

LLCNon-profit

Incorporated

Oct 16, 2009 in OH

Enrollment address

5900 High Street Ste 210
Worthington, OH 43085

Listed as

Optimum Home Health Care, LLCCCN 368359 · All quality measures

Ownership

Proprietary

Certified

Mar 8, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Tax ID family

Optimum Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Optimum Home Health Care LLC

  • Home Health Agency
  • Worthington, OH
  • NPI 1679920847
  NPD tax ID

Locations

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.

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1306172051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N HIGH ST",
            "address_2": "SUITE 210",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853956",
            "telephone_number": "614-846-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N HIGH ST",
            "address_2": "SUITE 210",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853956",
            "telephone_number": "614-846-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-846-8833",
        "authorized_official_credential": "ECONOMIST"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306172051",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154867",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Worthington, OH
• Providers in Worthington, 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 Jun 30, 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.

Verify at the official NPI Registry.