Organization Active NPI

Midwest Home Healthcare

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1609113786
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIDWEST HOME HEALTHCARE
Practice address
2700 E Dublin Granville Rd Ste 540
Columbus, OH 43231-4094
Phone
(614) 888-8979
Fax
(614) 888-8971
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Mr. Mohamed Hussein
Title
Owner
Phone
(614) 888-8979

Specialties & licenses 1

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

Addresses

Primary practice location

2700 E Dublin Granville Rd Ste 540
Columbus, OH 43231-4094

Mailing address

6161 Busch Blvd Ste 318
Columbus, OH 43229-2556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130402000205 OH Part A Provider - Home Health Agency 7214172865 Practice locations: Columbus, OH; Dayton, OH

Home health agency certification: CCN 369147

Legal name
MIDWEST HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 10, 2016
Last certification
Jul 22, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 19, 2012 in OH
Enrollment address
2700 E Dublin Granville Rd
Ste 540
Columbus, OH 43231-4094

Care Compare: Home health agency

Medicare Care Compare
Listed as
Midwest Home Healthcare LLCCCN 369147
Ownership
Proprietary
Certified
May 10, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Midwest Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6161 Busch Blvd
Ste 318
Columbus, OH 43229

2700 E Dublin Granville Rd
Ste 540
Columbus, OH 43231
Phone (614) 888-8979

4310 Linden Ave
Ste 330
Dayton, OH 45432
Phone (937) 999-4341

4130 Linden Ave
Ste 330
Dayton, OH 45432
Phone (614) 888-8979

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
Mohamed O Hussein Individual 5% Or Greater Direct Ownership Interest Nov 4, 2019 100%
W-2 Managing Employee Nov 4, 2019 100%

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1609113786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 318",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E DUBLIN GRANVILLE RD STE 540",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314094",
            "telephone_number": "614-888-8979",
            "fax_number": "614-888-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-888-8979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.