Advantage Home Health Care of Columbus, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANTAGE HOME HEALTH CARE OF COLUMBUS, LLC.

Practice address

1150 Morse Rd Ste 331
Columbus, OH 43229-6327

Phone

(614) 430-9616

Fax

(614) 430-9602

NPI assigned

May 20, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed M Shire

Title

Owner/President

Phone

(614) 377-3175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369042

Legal name

ADVANTAGE HOME HEALTH CARE OF COLUMBUS, LLC.

Doing business as

ADVANTAGE HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 11, 2013

Last certification

Jun 26, 2019

Ownership / control type

Non-Profit

Organization structure

LLCProprietary

Incorporated

Mar 3, 2011 in OH

Enrollment address

1150 Morse Rd
Ste 331
Columbus, OH 43229-6327

Listed as

Advantage Home Health Care, LLCCCN 369042 · All quality measures

Ownership

Non-Profit

Certified

Nov 11, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1396038535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MORSE RD STE 331",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296327",
            "telephone_number": "614-430-9616",
            "fax_number": "614-430-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MORSE RD STE 331",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296327",
            "telephone_number": "614-430-9616",
            "fax_number": "614-430-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME HEALTH CARE OF COLUMBUS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "SHIRE",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "614-377-3175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

Verify at the official NPI Registry.