Excellence Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2024397 Issued in OH

Legal business name

EXCELLENCE HOME HEALTHCARE LLC

Practice address

3255 E Livingston Ave Ste 4
Columbus, OH 43227-1967

Phone

(614) 755-6502

Fax

(614) 604-9836

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Ernestina Appiah-Boateng, RNNPI 1588958524

Title

Owner

Phone

(614) 755-6502

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369014

Legal name

EXCELLENCE HOME HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 28, 2013

Last certification

Feb 21, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 27, 2011 in OH

Enrollment address

3255 E Livingston Ave
Ste 4
Columbus, OH 43227-1967

Listed as

Excellence Home Healthcare LLCCCN 369014

Ownership

Proprietary

Certified

Apr 28, 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.

Owners & managing parties with NPI records 1

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

• Ernestina Appiah-Boateng, FNP

  • Primary Care Nurse Practitioner
  • Reynoldsburg, OH
  • NPI 1588958524

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernestina Appiah-Boateng, FNP

  • Primary Care Nurse Practitioner
  • Reynoldsburg, OH
  • NPI 1588958524
  NPD Authorized official

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1457630907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 E LIVINGSTON AVE STE 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271967",
            "telephone_number": "614-755-6502",
            "fax_number": "614-604-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 E LIVINGSTON AVE STE 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271967",
            "telephone_number": "614-755-6502",
            "fax_number": "614-604-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "APPIAH-BOATENG",
        "authorized_official_first_name": "ERNESTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-755-6502",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2024397",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093922",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457630907",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.