NPIMap

Organization Active NPI

Excellent Community Home Healthcare, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1316570799
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXCELLENT COMMUNITY HOME HEALTHCARE, LLC
Practice address
2999 E Dublin Granville Rd Ste 100
Columbus, OH 43231-4084
Phone
(614) 927-0433
Fax
(614) 401-4885
NPI assigned
Feb 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Fatoumata DialloNPI 1346679453
Title
Chief Executive Officer
Phone
(917) 399-0469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2999 E Dublin Granville Rd Ste 100
Columbus, OH 43231-4084

Mailing address

2999 E Dublin Granville Rd Ste 100
Columbus, OH 43231-4084
Phone (614) 927-0433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200511003365 OH Part A Provider - Home Health Agency 3577994367 Practice locations: Columbus, OH

Home health agency certification: CCN 369245

Legal name
EXCELLENT COMMUNITY HOME HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 11, 2020
Last certification
Oct 11, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
2999 E Dublin Granville Rd
Ste 100
Columbus, OH 43231-4084

Care Compare: Home health agency

Medicare Care Compare
Listed as
Excellent Community Home Healthcare LLCCCN 369245
Ownership
Proprietary
Certified
Oct 11, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2999 E Dublin Granville Rd
Ste 100
Columbus, OH 43231
Phone (614) 927-0433

Ownership & related parties

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.

NameRoleSinceShare
Fatoumata D Diallo Individual 5% Or Greater Direct Ownership InterestExecutive Officer Feb 18, 2020 100%
W-2 Managing EmployeeExecutive Officer Feb 18, 2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1316570799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 E DUBLIN GRANVILLE RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314084",
            "telephone_number": "614-927-0433",
            "fax_number": "614-401-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 E DUBLIN GRANVILLE RD STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314084",
            "telephone_number": "614-927-0433",
            "fax_number": "614-401-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT COMMUNITY HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "DIALLO",
        "authorized_official_first_name": "FATOUMATA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "917-399-0469"
    },
    "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.