Organization Active NPI

Marimart Health Care Plus LLC

  • Home Health Agency
  • Gahanna, OH
National Provider Identifier
1629390091
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARIMART HEALTH CARE PLUS LLC
Practice address
208 W Johnstown Rd
Gahanna, OH 43230-2731
Phone
(614) 470-9755
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Mrs. Mariama D Sisay -John
Title
RN Ceo
Phone
(614) 470-9755

Specialties & licenses 1

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

Addresses

Primary practice location

208 W Johnstown Rd
Gahanna, OH 43230-2731

Mailing address

208 W Johnstown Rd
Ste
Gahanna, OH 43230-2731
Phone (614) 470-9755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090505000427 OH Part A Provider - Home Health Agency 5698823482 1 other NPI on this enrollment
Practice locations: Gahanna, OH; Trotwood, OH

Home health agency certification: CCN 368272

Legal name
MARIMART HEALTH CARE PLUS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 6, 2009
Last certification
Jan 16, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 7, 2008 in OH
Enrollment address
208 W Johnstown Rd
Gahanna, OH 43230-2731

Care Compare: Home health agency

Medicare Care Compare
Listed as
Marimart Health Care Plus LLCCCN 368272 · All quality measures
Ownership
Proprietary
Certified
Nov 6, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2862 Johnstown Rd
Ste 206
Columbus, OH 43219
Phone (614) 470-9755

117 W Main St
Ste 103
Lancaster, OH 43130
Phone (740) 654-3067

4604 Salem Ave
Trotwood, OH 45416
Phone (614) 470-9755

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
Marimart Health Care Plus LLC Organization, Columbus, OH 5% Or Greater Direct Ownership Interest Mar 10, 2009
Mariama D Sisay-John Individual 5% Or Greater Direct Ownership Interest Feb 7, 2008 100%
Corporate OfficerCeo, President of Board of Direc Feb 7, 2008 100%
W-2 Managing Employee Feb 7, 2008

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1629390091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W JOHNSTOWN RD",
            "address_2": "STE",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302731",
            "telephone_number": "614-470-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W JOHNSTOWN RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302731",
            "telephone_number": "614-470-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIMART HEALTH CARE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "SISAY -JOHN",
        "authorized_official_first_name": "MARIAMA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN CEO",
        "authorized_official_telephone_number": "614-470-9755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.