Relay Home Care Service LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RELAY HOME CARE SERVICE LLC

Practice address

3314 Morse Rd Ste 216
Columbus, OH 43231-6100

Phone

(614) 805-2767

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Abdillahi A Abdi

Title

President

Phone

(614) 805-2767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369005

Legal name

RELAY HOME CARE SERVICE LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 15, 2013

Last certification

Mar 11, 2021

Ownership / control type

Non-Profit

Organization structure

LLCProprietary

Incorporated

Sep 13, 2011 in OH

Enrollment address

3314 Morse Rd
Ste 216
Columbus, OH 43231-6100
HHA Branch

Listed as

Relay Home Care ServiceCCN 369005

Ownership

Non-Profit

Certified

May 15, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1477836732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 MORSE RD STE 216",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316100",
            "telephone_number": "614-805-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 MORSE RD STE 216",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316100",
            "telephone_number": "614-805-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAY HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDILLAHI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-805-2767"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "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 Sep 23, 2011; 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.