Organization Active NPI

Caregiving Angels LLC.

  • Home Health Agency
  • Fairfield, OH
National Provider Identifier
1528622602
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREGIVING ANGELS LLC.
Practice address
530 Wessel Dr Ste 2C
Fairfield, OH 45014-3651
Phone
(513) 331-4969
Fax
(513) 330-6879
NPI assigned
Apr 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Mr. Kofi Dekyi
Title
Ceo
Phone
(937) 626-9401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

530 Wessel Dr Ste 2C
Fairfield, OH 45014-3651

Mailing address

530 Wessel Dr Ste 2C
Fairfield, OH 45014-3651
Phone (513) 331-4969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210722000823 OH Part A Provider - Home Health Agency 1557764917 Practice locations: Fairfield, OH

Home health agency certification: CCN 369296

Legal name
CAREGIVING ANGELS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2022
Last certification
Mar 24, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 22, 2019 in OH
Enrollment address
530 Wessel Dr
Ste 2C
Fairfield, OH 45014-3651
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caregiving Angels LLCCCN 369296
Ownership
Proprietary
Certified
Mar 28, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kofi Dekyi Individual 5% Or Greater Direct Ownership InterestExecutive Director Mar 22, 2019 100%
Corporate OfficerExecutive Director Mar 22, 2019 100%
W-2 Managing EmployeeExecutive Director Mar 22, 2019 100%

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1528622602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WESSEL DR STE 2C",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143651",
            "telephone_number": "513-331-4969",
            "fax_number": "513-330-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WESSEL DR STE 2C",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450143651",
            "telephone_number": "513-331-4969",
            "fax_number": "513-330-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVING ANGELS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "DEKYI",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-626-9401",
        "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 Fairfield, OH

Sources for this page

Verify at the official NPI Registry.