Active NPI
Professional Home Health Care 2 Inc.
- Home Health Agency
- Columbus, OH
National Provider Identifier
1326104530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 200634000958
- Legal business name
- PROFESSIONAL HOME HEALTH CARE 2 INC.
- Practice address
- 2931 E Dublin Granville Rd Ste 140
Columbus, OH 43231-2098 - Phone
- (614) 268-8480
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamud Keyse
- Title
- Excutive Director
- Phone
- (614) 268-8480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 200634000958 | OH | Primary |
Addresses
Primary practice location
2931 E Dublin Granville Rd Ste 140
Columbus, OH 43231-2098
Mailing address
2931 E Dublin Granville Rd Ste 140
Columbus, OH 43231-2098
Phone (614) 268-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070525000210 | OH | Part A Provider - Home Health Agency | 8224135256 | Practice locations: Columbus, OH |
Home health agency certification: CCN 368313
- Legal name
- PROFESSIONAL HOME HEALTH CARE 2 INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 28, 2010
- Last certification
- Nov 15, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 21, 2006 in OH
- Enrollment address
- 2931 E Dublin Granville Rd
Ste 140
Columbus, OH 43231-2002
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Professional Home Health Care 2, Inc
- Ownership
- Proprietary
- Certified
- May 28, 2010
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1391 Oakland Park Ave
Ste K
Columbus, OH 43224
Phone (614) 268-8480
2931 E Dublin Granville Rd
Ste 140
Columbus, OH 43231
Phone (614) 268-8480
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ahmed Yusuf | 5% Or Greater Direct Ownership Interest | Dec 21, 2006 | 50% |
| Corporate Director | Dec 21, 2006 | ||
| W-2 Managing Employee | Feb 6, 2012 | ||
| Mohamud Abdullahi Keyse | 5% Or Greater Direct Ownership Interest | Feb 6, 2012 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719446400000",
"number": "1326104530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2931 E DUBLIN GRANVILLE RD STE 140",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432312098",
"telephone_number": "614-268-8480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 E DUBLIN GRANVILLE RD STE 140",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432312098",
"telephone_number": "614-268-8480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HOME HEALTH CARE 2 INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A",
"authorized_official_last_name": "KEYSE",
"authorized_official_first_name": "MOHAMUD",
"authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
"authorized_official_telephone_number": "614-268-8480"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "200634000958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
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- Professional Dental Alliance, LLC
- Professional Eye Care Associates, Inc.
- Professional Fitness Training Associates LLC
- Professional Hearing Care Services, Inc
- Professional Home Health Care Services LLC
- Professionals for Womens Health Inc
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- Profound Care,LLC.
- Profound Home Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.