Organization Active NPI

Tucker Home Healthcare LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1578076717
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TUCKER HOME HEALTHCARE LLC
Practice address
1305 Worthington Woods Blvd
Columbus, OH 43085-4743
Phone
(614) 796-0939
Fax
(614) 515-2435
NPI assigned
Nov 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Mr. Abdi Dahir
Title
Owner
Phone
(614) 695-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1305 Worthington Woods Blvd
Columbus, OH 43085-4743

Mailing address

1305 Worthington Woods Blvd
Columbus, OH 43085-4743
Phone (614) 796-0939

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180418002546 OH Part A Provider - Home Health Agency 0345503686 Practice locations: Columbus, OH

Home health agency certification: CCN 369235

Legal name
TUCKER HOME HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 7, 2020
Last certification
Apr 7, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 3, 2017 in OH
Enrollment address
2700 E Dublin Granville Rd
Ste 280
Columbus, OH 43231-4090

Care Compare: Home health agency

Medicare Care Compare
Listed as
Tucker Home Healthcare LLCCCN 369235
Ownership
Proprietary
Certified
Apr 7, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
36D2179045Tucker Home Healthcare, LLC2700 E Dublin-Granville Road, Columbus, OH 43231Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Locations

1305 Worthington Woods Blvd
Columbus, OH 43085

6161 Busch Blvd
Ste 88
Columbus, OH 43229
Phone (614) 599-5170

2700 E Dublin Granville Rd
Ste 280
Columbus, OH 43231
Phone (614) 796-0939

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
Abdi Dahir Individual 5% Or Greater Direct Ownership Interest Nov 3, 2017 100%
W-2 Managing Employee Nov 3, 2017

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": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1578076717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WORTHINGTON WOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430854743",
            "telephone_number": "614-796-0939",
            "fax_number": "614-515-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WORTHINGTON WOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430854743",
            "telephone_number": "614-796-0939",
            "fax_number": "614-515-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "DAHIR",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-695-9210",
        "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 Columbus, OH

Sources for this page

Verify at the official NPI Registry.