Organization Active NPI

Independent Home Care Inc.

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1336225960
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INDEPENDENT HOME CARE INC.
Practice address
4371 E Broad St
Suite 101
Columbus, OH 43213-1248
Phone
(614) 231-9202
Fax
(614) 231-9242
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Linna Morgan, RN
Title
Don
Phone
(614) 778-1608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4371 E Broad St
Suite 101
Columbus, OH 43213-1248

Mailing address

4371 E Broad St
Suite 101
Columbus, OH 43213-1248
Phone (614) 231-9202

Other identifiers 1

IdentifierTypeStateIssuer
2450753MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030909000030 OH Part A Provider - Home Health Agency 6002727328 Practice locations: Columbus, OH

Home health agency certification: CCN 368037

Legal name
INDEPENDENT HOME CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 7, 2004
Last certification
Dec 7, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 8, 2003 in OH
Enrollment address
4371 E Broad St
Ste 101
Columbus, OH 43213-1248

Care Compare: Home health agency

Medicare Care Compare
Listed as
Independent Home CareCCN 368037
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jan 7, 2004
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
36D1018848Independent Home Care Inc4371 E Broad St Ste 101, Whitehall, OH 43213Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

4371 E Broad St
Ste 101
Columbus, OH 43213
Phone (614) 231-9202

661 N James Rd
Columbus, OH 43219
Phone (614) 231-9202

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
Linna Morgan Individual 5% Or Greater Direct Ownership Interest Jul 15, 2022 25%
Corporate Director Jul 1, 2012
Anna Krupovlyaskaya Individual 5% Or Greater Direct Ownership Interest Jul 15, 2022 75%
Corporate Officer Jun 1, 2003
W-2 Managing Employee Jun 1, 2003
Operational/Managerial Control Jun 1, 2003

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1336225960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 E BROAD ST",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131248",
            "telephone_number": "614-231-9202",
            "fax_number": "614-231-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 E BROAD ST",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131248",
            "telephone_number": "614-231-9202",
            "fax_number": "614-231-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "LINNA",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "614-778-1608",
        "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": "2450753",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.