Organization Active NPI

Broad Home Healthcare, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1508678319
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BROAD HOME HEALTHCARE, LLC
Practice address
6100 Channingway Blvd # 310-O
Columbus, OH 43232-2910
Phone
(614) 696-0336
Fax
(614) 999-1415
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mr. Abdinasir Ali
Title
Ceo
Phone
(614) 696-0336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6100 Channingway Blvd # 310-O
Columbus, OH 43232-2910

Mailing address

6100 Channingway Blvd # 310-O
Columbus, OH 43232-2910
Phone (614) 696-0336

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
36D2321647Broad Home Healthcare, LLC6100 Channingway Blvd - 310-O, Columbus, OH 43232Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

6100 Channingway Blvd
#310O
Columbus, OH 43232
Phone (614) 218-3997

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1508678319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CHANNINGWAY BLVD # 310-O",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322910",
            "telephone_number": "614-696-0336",
            "fax_number": "614-999-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 CHANNINGWAY BLVD # 310-O",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322910",
            "telephone_number": "614-696-0336",
            "fax_number": "614-999-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDINASIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-696-0336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.