Active NPI
Alfa Home Healthcare, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1518206937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALFA HOME HEALTHCARE, LLC
- Practice address
- 2586 Tiller LN
Ste #2F
Columbus, OH 43231-2265 - Phone
- (614) 794-0021
- Fax
- (614) 794-0022
- NPI assigned
- Feb 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bahilo Shirwa
- Title
- Ceo/Owner
- Phone
- (614) 794-0021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2586 Tiller LN
Ste #2F
Columbus, OH 43231-2265
Mailing address
2586 Tiller LN
Ste #2F
Columbus, OH 43231-2265
Phone (614) 794-0021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130412000105 | OH | Part A Provider - Home Health Agency | 9537305800 | Practice locations: Zanesville, OH; Newark, OH; Columbus, OH; Coshocton, OH |
Home health agency certification: CCN 369067
- Legal name
- ALFA HOME HEALTHCARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 31, 2014
- Last certification
- Sep 8, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 27, 2012 in OH
- Enrollment address
- 2586 Tiller Lane
Suite 2F
Columbus, OH 43231-2265
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Alfa Home Healthcare LLC
- Ownership
- Proprietary
- Certified
- Mar 31, 2014
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2586 Tiller Ln
Ste 2F
Columbus, OH 43231
Phone (614) 794-0021
67 N 2nd St
Ste C
Newark, OH 43055
Phone (740) 281-8794
1000 N 21st St
Newark, OH 43055
Phone (740) 281-8794
14 N 5th St
Ste 106
Zanesville, OH 43701
Phone (740) 868-4119
1136 Maple Ave
Zanesville, OH 43701
Phone (740) 868-4119
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Abdirahma Mohammud | Contracted Managing Employee | Aug 18, 2017 | 100% |
| Corporate Officer | Aug 18, 2017 | 100% | |
| Corporate Director | Aug 18, 2017 | 100% | |
| W-2 Managing Employee | Aug 18, 2017 | 100% | |
| Bahilo D Shirwa | Contracted Managing Employee | Aug 18, 2017 | 100% |
| 5% Or Greater Direct Ownership Interest | Aug 18, 2017 | 100% | |
| 5% Or Greater Indirect Ownership Interest | Aug 18, 2017 | 100% | |
| 5% Or Greater Mortgage Interest | Aug 18, 2017 | 100% | |
| 5% Or Greater Security Interest | Aug 18, 2017 | ||
| Corporate Officer | Aug 18, 2017 | 100% | |
| Corporate Director | Aug 18, 2017 | 100% | |
| W-2 Managing Employee | Aug 18, 2017 | 100% | |
| Deborah Turley | Corporate Officer | Jun 21, 2019 | |
| Corporate Director | Jun 21, 2019 | ||
| W-2 Managing Employee | Jun 21, 2019 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597276800000",
"number": "1518206937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2586 TILLER LN",
"address_2": "STE #2F",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432312265",
"telephone_number": "614-794-0021",
"fax_number": "614-794-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2586 TILLER LN",
"address_2": "STE #2F",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432312265",
"telephone_number": "614-794-0021",
"fax_number": "614-794-0022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALFA HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-05",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "SHIRWA",
"authorized_official_first_name": "BAHILO",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "614-794-0021"
},
"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 Aug 13, 2020; 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.