Mahogany Home Health and Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MAHOGANY HOME HEALTH AND HOSPICE, LLC

Practice address

10999 Reed Hartman Hwy Suite 304 H
Cincinnati, OH 45242

Phone

(513) 402-0496

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By 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

Dr. Victor Couzens Sr.

Title

Owner

Phone

(513) 413-4132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316759921. Details of each certification follow.

• CCN 361748 Hospice · Active · Details

Hospice certification: CCN 361748

Legal name

MAHOGANY HOME HEALTH AND HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 11, 2025

Last certification

Jul 11, 2025

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

2400 Reading Rd
Ste 139
Cincinnati, OH 45202-1429

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mahogany Home Health and Hospice LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1003609157

  0547789364

  Same PAC ID

Listed as

Mahogany Home Health and Hospice LLCCCN 361748 · All quality measures

Certified

Jul 11, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Reading3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mahogany Home Health and Hospice LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1003609157
  NPD tax ID
• Mahogany Home Health and Hospice, LLC

  • Home Health Agency
  • Blue Ash, OH
  • NPI 1265226229
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Mahogany Home Health and Hospice LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1003609157

  Member Of

  NPD member

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anas Fares, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1467080713

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abraham Olagoke Kuranga, M.D.

  • Internal Medicine Physician
  • Montgomery, OH
  • NPI 1821418237

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1316759921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY SUITE 304 H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-402-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY SUITE 304 H",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-402-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY HOME HEALTH AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "COUZENS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-413-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Mahmood, MD
• Mohamed A Mahmoud, M.D.
• Nevine Mahmoud, MD, MS, MS
• Samira Mahmoud
• Mahogany Home Health and Hospice LLC
• Sarah Marie Mahon, LPN
• Andrea Spencer Mahoney, P.T.
• Brenna Marie Mahoney
• Bruce W Mahoney, MD
• Margaret Lee Mahoney

• Community Based Hospice Care Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.