Organization Active NPI

Healingdrive Homehealth, LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1609624683
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALINGDRIVE HOMEHEALTH, LLC
Practice address
6434 E Main St Ste 101
Reynoldsburg, OH 43068-7300
Phone
(216) 632-5940
NPI assigned
May 7, 2024
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALINGDRIVE HOMEHEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Jenarius Taku
Title
Administrator
Phone
(216) 632-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6434 E Main St Ste 101
Reynoldsburg, OH 43068-7300

Mailing address

6434 E Main St Ste 101
Reynoldsburg, OH 43068-7300
Phone (216) 632-5940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729003277 OH Part A Provider - Home Health Agency 3779029558 Practice locations: Reynoldsburg, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609624683. Details of each certification follow.

Home health agency certification: CCN 369393

Legal name
HEALINGDRIVE HOMEHEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 21, 2025
Last certification
Jan 28, 2025
Organization structure
LLCProprietary
Incorporated
Apr 19, 2024 in OH
Enrollment address
6434 E Main St
Ste 101
Reynoldsburg, OH 43068-7300
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healingdrive Homehealth LLCCCN 369393 · All quality measures
Ownership
-
Certified
Feb 21, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Healingdrive Homehealth LLC3 organizations share this tax ID, including this one
Part of
Healingdrive Homehealth LLC

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Premgopal Thapa Individual Corporate Director Jul 21, 2025
W-2 Managing EmployeeAd; Jul 21, 2025
Jenarius Taku Individual 5% Or Greater Direct Ownership InterestOwner Apr 19, 2024 100%
Abongjoh Taku Individual W-2 Managing EmployeeDon Apr 19, 2024 50%

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1609624683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 E MAIN ST STE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687300",
            "telephone_number": "216-632-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 E MAIN ST STE 101",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687300",
            "telephone_number": "216-632-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALINGDRIVE HOMEHEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALINGDRIVE HOMEHEALTH, LLC",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "TAKU",
        "authorized_official_first_name": "JENARIUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-632-5940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.