Active NPI
Thalia Healthcare LLC
- In Home Supportive Care Agency
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matilda Nchotu, NURSE
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Apr 6, 2021
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2202708 | Thalia Healthcare, LLC | Certificate of waiver | Nov 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Matilda Nchotu | 5% Or Greater Direct Ownership Interest | May 14, 2020 | 100% |
| W-2 Managing Employee | 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.
-
- Licensed Practical Nurse
- Columbus, OH
- NPI 1659524601
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.