Organization Active NPI

Alfa Home Healthcare, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1518206937
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 13, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 369067 · All quality measures
Ownership
Proprietary
Certified
Mar 31, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Abdirahma Mohammud Individual Contracted Managing EmployeeAdministrator Aug 18, 2017 100%
Corporate OfficerAdministrator Aug 18, 2017 100%
Corporate Director Aug 18, 2017 100%
W-2 Managing Employee Aug 18, 2017 100%
Bahilo D Shirwa Individual Contracted Managing EmployeeAdministrator Aug 18, 2017 100%
5% Or Greater Direct Ownership InterestOwner Aug 18, 2017 100%
5% Or Greater Indirect Ownership Interest Aug 18, 2017 100%
5% Or Greater Mortgage InterestOwner Aug 18, 2017 100%
5% Or Greater Security Interest Aug 18, 2017
Corporate OfficerOwner Aug 18, 2017 100%
Corporate Director Aug 18, 2017 100%
W-2 Managing Employee Aug 18, 2017 100%
Deborah Turley Individual 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

Verify at the official NPI Registry.