Organization Active NPI

Thalia Healthcare LLC

  • In Home Supportive Care Agency
  • Columbus, OH
National Provider Identifier
1629522776
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
THALIA HEALTHCARE LLC
Practice address
1425 E Dublin Granville Rd Ste 214
Columbus, OH 43229-3312
Phone
(614) 505-6077
Fax
(614) 505-6077
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Matilda Nchotu, NURSENPI 1659524601
Title
C.E.O
Phone
(614) 505-6077

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1425 E Dublin Granville Rd Ste 214
Columbus, OH 43229-3312

Mailing address

1425 E Dublin Granville Rd Ste 214
Columbus, OH 43229-3312
Phone (614) 505-6077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200716003569 OH Part A Provider - Home Health Agency 2860816303 Practice locations: Columbus, OH

Home health agency certification: CCN 369266

Legal name
THALIA HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 6, 2021
Last certification
Apr 6, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 10, 2013 in OH
Enrollment address
1425 E Dublin Granville Rd
Ste 214
Columbus, OH 43229-3312

Care Compare: Home health agency

Medicare Care Compare
Listed as
Thalia Healthcare LLCCCN 369266
Ownership
Proprietary
Certified
Apr 6, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
36D2202708Thalia Healthcare, LLC1425 E Dublin-Granville Rd Suite 214, Columbus, OH 43229Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory

Locations

2586 Tiller Ln
Ste 2B
Columbus, OH 43231

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
Matilda Nchotu Individual 5% Or Greater Direct Ownership Interest May 14, 2020 100%
W-2 Managing EmployeeCeo May 14, 2020 100%

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": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1629522776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD STE 214",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293312",
            "telephone_number": "614-505-6077",
            "fax_number": "614-505-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD STE 214",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293312",
            "telephone_number": "614-505-6077",
            "fax_number": "614-505-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THALIA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "NCHOTU",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "614-505-6077",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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.