Organization Active NPI

Living Life Homecare II LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1316657240
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING LIFE HOMECARE II LLC
Practice address
2323 Lake Club Dr Ste 102
Columbus, OH 43232-3198
Phone
(614) 322-9210
Fax
(614) 322-9214
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Ebenezer A Mensahaddison, RNNPI 1013324185
Title
Ceo
Phone
(614) 322-3210

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

2323 Lake Club Dr Ste 102
Columbus, OH 43232-3198

Mailing address

2323 Lake Club Dr Ste 102
Columbus, OH 43232-3198
Phone (614) 322-9210

Other identifiers 1

IdentifierTypeStateIssuer
1194066795MedicaidOH

Other names 1

  • LIVING LIFE HOME CARE II LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1316657240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 LAKE CLUB DR STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323198",
            "telephone_number": "614-322-9210",
            "fax_number": "614-322-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 LAKE CLUB DR STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323198",
            "telephone_number": "614-322-9210",
            "fax_number": "614-322-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE HOMECARE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MENSAHADDISON",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-322-3210",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194066795",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVING LIFE HOME CARE II LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.