Organization Active NPI

Capital Home Health, Inc

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1306992946
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAPITAL HOME HEALTH, INC
Practice address
5898 Cleveland Ave
Suite 204
Columbus, OH 43231-6884
Phone
(614) 818-2708
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Mr. Liban Mohamed
Title
Ceo
Phone
(614) 818-2708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5898 Cleveland Ave
Suite 204
Columbus, OH 43231-6884

Mailing address

5898 Cleveland Ave
Suite 204
Columbus, OH 43231-6884
Phone (614) 818-2708

Other identifiers 1

IdentifierTypeStateIssuer
2705700MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080924000737 OH Part A Provider - Home Health Agency 3577584192 Practice locations: Newark, OH; Springfield, OH; Columbus, OH

Home health agency certification: CCN 368153

Legal name
CAPITAL HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 29, 2006
Last certification
Feb 18, 2021
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Sep 26, 2005 in OH
Enrollment address
5898 Cleveland Ave
Ste 204
Columbus, OH 43231-6884

Care Compare: Home health agency

Medicare Care Compare
Listed as
Capital Home Health, IncCCN 368153
Ownership
Proprietary
Certified
Sep 29, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
36D1054107Capital Home Health Inc5898 Cleveland Ave, Columbus, OH 43231Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Capital Home Health Inc2 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.

Locations

2586 Tiller Ln
Ste B
Columbus, OH 43231
Phone (614) 818-2708

5898 Cleveland Ave
Ste 204
Columbus, OH 43231
Phone (614) 818-2708

85 N 3rd St
Ste B
Newark, OH 43055
Phone (740) 281-3464

195 Union St
Ste D
Newark, OH 43055
Phone (740) 281-3464

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
Mohamed Ahmed Individual Corporate OfficerPresident Jan 1, 2016
W-2 Managing Employee Oct 5, 2018
Binti Ahmed Individual 5% Or Greater Direct Ownership Interest Dec 22, 2022 100%
Corporate OfficerPresident Dec 22, 2022 100%

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1306992946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5898 CLEVELAND AVE",
            "address_2": "SUITE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316884",
            "telephone_number": "614-818-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5898 CLEVELAND AVE",
            "address_2": "SUITE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316884",
            "telephone_number": "614-818-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-818-2708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2705700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.