Organization Active NPI

Stoneridge Home Health Care LLC

  • Home Health Agency
  • Gahanna, OH
National Provider Identifier
1528603305
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STONERIDGE HOME HEALTH CARE LLC
Doing business as
Stoneridge Home Health Care LLC
Practice address
104 N Hamilton Rd Ste 1
Gahanna, OH 43230-2602
Phone
(614) 407-3225
Fax
(614) 810-2922
NPI assigned
Nov 15, 2019
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Elias NduatiNPI 1558515973
Title
C.E.O/President
Phone
(614) 446-3531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

104 N Hamilton Rd Ste 1
Gahanna, OH 43230-2602

Mailing address

104 N Hamilton Rd Ste 1
Gahanna, OH 43230-2602
Phone (614) 446-3531

Other names 1

  • Stoneridge Home Health Care LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL STONERIDGEHOMEHEALTHCARE@GMAIL.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200413001742 OH Part A Provider - Home Health Agency 8123458213 Practice locations: Gahanna, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528603305. Details of each certification follow.

Home health agency certification: CCN 369243

Legal name
STONERIDGE HOME HEALTH CARE LLC
Doing business as
STONERIDGE HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 16, 2020
Last certification
Jul 16, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 30, 2019 in OH
Enrollment address
104 N Hamilton Rd
Ste 1
Gahanna, OH 43230-2602

Care Compare: Home health agency

Medicare Care Compare
Listed as
Stoneridge Home Health Care LLCCCN 369243 · All quality measures
Ownership
Proprietary
Certified
Jul 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

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
36D2176264Stoneridge Home Health Care LLC104 N Hamilton Rd, Gahanna, OH 43230Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

104 N Hamilton Rd
#1
Gahanna, OH 43230
Phone (614) 407-3225

Ownership & related parties

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.

NameRoleSinceShare
Esther Nganga Individual Operational/Managerial Control Jan 30, 2020 100%
Elias Nduati Individual 5% Or Greater Direct Ownership Interest Oct 30, 2019 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1528603305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N HAMILTON RD STE 1",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302602",
            "telephone_number": "614-446-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N HAMILTON RD STE 1",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302602",
            "telephone_number": "614-407-3225",
            "fax_number": "614-810-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONERIDGE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "NDUATI",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "C.E.O/PRESIDENT",
        "authorized_official_telephone_number": "614-446-3531"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "STONERIDGEHOMEHEALTHCARE@GMAIL.COM",
            "affiliation": "N",
            "address_1": "104 N Hamilton Rd Ste 1",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432302602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stoneridge Home Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stoneridge Home Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.