Primary Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMARY HOME CARE, LLC

Practice address

4937 W Broad St Ste 305
Columbus, OH 43228-1646

Phone

(614) 843-2788

Fax

(614) 417-5095

NPI assigned

Feb 5, 2020

Organization subpart

No

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

Authorized official

Name

Mahammed Mahammed

Title

Ceo

Phone

(614) 843-2788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369304

Legal name

PRIMARY HOME CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 6, 2022

Last certification

Apr 13, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 22, 2020 in OH

Enrollment address

2575 W Broad St
Unit 4
Columbus, OH 43204-3333

Listed as

Primary Home Care LLCCCN 369304

Ownership

Proprietary

Certified

May 6, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, 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.

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1306478557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4937 W BROAD ST STE 305",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281646",
            "telephone_number": "614-843-2788",
            "fax_number": "614-417-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4937 W BROAD ST STE 305",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281646",
            "telephone_number": "614-843-2788",
            "fax_number": "614-417-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "MAHAMMED",
        "authorized_official_first_name": "MAHAMMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-843-2788"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 23, 2024; 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.