Organization Active NPI

Zimam Holdings, LLC

Doing business as Zimam Home Healthcare

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1538260898
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ZIMAM HOLDINGS, LLC
Doing business as
Zimam Home Healthcare
Practice address
415 E Mound St FL 2
Columbus, OH 43215-5532
Phone
(614) 849-0550
Fax
(614) 849-0060
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Ms. Caroline P GloverNPI 1962727511
Title
Managing Partner
Phone
(614) 849-0550

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 OH Primary

Addresses

Primary practice location

415 E Mound St FL 2
Columbus, OH 43215-5532

Mailing address

415 E Mound St FL 2
Columbus, OH 43215-5532
Phone (614) 849-0550

Other identifiers 1

IdentifierTypeStateIssuer
2581620MedicaidOH

Other names 1

  • Zimam Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018000473 OH Part A Provider - Home Health Agency 1254357494 Practice locations: Columbus, OH

Home health agency certification: CCN 368103

Legal name
ZIMAM HOLDINGS, LLC
Doing business as
ZIMAM HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 4, 2005
Last certification
Apr 17, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 26, 2004 in OH
Enrollment address
415 East Mound Street
2ND Floor
Columbus, OH 43215-5512

Care Compare: Home health agency

Medicare Care Compare
Listed as
Zimam Home HealthcareCCN 368103 ยท All quality measures
Ownership
Proprietary
Certified
Aug 4, 2005
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

Locations

376 E Main St
Columbus, OH 43215
Phone (614) 849-0550

415 E Mound St
Fl 2
Columbus, OH 43215
Phone (614) 307-0220

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
Mark Glover Individual 5% Or Greater Direct Ownership Interest Oct 26, 2004 50%
Operational/Managerial Control Oct 18, 2004
Caroline Glover Individual 5% Or Greater Direct Ownership InterestAdministrator Oct 26, 2004 50%
W-2 Managing EmployeeAd; Oct 18, 2004
Operational/Managerial Control Oct 18, 2004 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1538260898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E MOUND ST FL 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155532",
            "telephone_number": "614-849-0550",
            "fax_number": "614-849-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E MOUND ST FL 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155532",
            "telephone_number": "614-849-0550",
            "fax_number": "614-849-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMAM HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "614-849-0550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2581620",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zimam Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zimam Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.