Organization Active NPI

Queen Home Health Agency LLC

  • Home Health Agency
  • Dublin, OH
National Provider Identifier
1356986400
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUEEN HOME HEALTH AGENCY LLC
Practice address
5890 Sawmill Rd Ste 220
Dublin, OH 43017-7568
Phone
(614) 947-0050
Fax
(614) 947-0337
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Ms. Rafal Razooky
Title
Administrator
Phone
(614) 947-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5890 Sawmill Rd Ste 220
Dublin, OH 43017-7568

Mailing address

5890 Sawmill Rd Ste 220
Dublin, OH 43017-7568
Phone (614) 947-0050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200706002380 OH Part A Provider - Home Health Agency 2961825229 Practice locations: Dublin, OH

Home health agency certification: CCN 369251

Legal name
QUEEN HOME HEALTH AGENCY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 12, 2020
Last certification
Nov 12, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 11, 2019 in OH
Enrollment address
5890 Sawmill Rd
Ste 220
Dublin, OH 43017-7568

Care Compare: Home health agency

Medicare Care Compare
Listed as
Queen Home Health Agency LLCCCN 369251
Ownership
Proprietary
Certified
Nov 12, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
36D2193117Queen Home Health Agency, LLC5890 Sawmill Rd Ste 220, Dublin, OH 43017Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

5890 Sawmill Rd
Dublin, OH 43017

5890 Sawmill Rd
Ste 220
Dublin, OH 43017
Phone (614) 947-0050

Ownership & related parties

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.

NameRoleSinceShare
Rafal Razooky Individual 5% Or Greater Direct Ownership Interest Nov 10, 2019 100%
Corporate DirectorCeo Nov 10, 2019 100%
W-2 Managing Employee Nov 10, 2019 100%
Salam Mahdi Individual Operational/Managerial Control Apr 29, 2026
Ayman Razooky Individual W-2 Managing EmployeeHR Manager Apr 29, 2026

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1356986400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 SAWMILL RD STE 220",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177568",
            "telephone_number": "614-947-0050",
            "fax_number": "614-947-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 SAWMILL RD STE 220",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177568",
            "telephone_number": "614-947-0050",
            "fax_number": "614-947-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "RAZOOKY",
        "authorized_official_first_name": "RAFAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-947-0050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.