Organization Active NPI

Family Choice Home Healthcare Services, LLC.

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1649526138
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY CHOICE HOME HEALTHCARE SERVICES, LLC.
Practice address
2021 E. Dublin Granville Rd
Suite 136
Columbus, OH 43229-3568
Phone
(614) 406-4460
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Ike Mgbatogu
Title
Ceo/Owner
Phone
(614) 406-4460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2021 E. Dublin Granville Rd
Suite 136
Columbus, OH 43229-3568

Mailing address

2021 E. Dublin Granville Rd
Suite 136
Columbus, OH 43229-3568
Phone (614) 406-4460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120824000343 OH Part A Provider - Home Health Agency 2769393719 Practice locations: Columbus, OH

Home health agency certification: CCN 369113

Legal name
FAMILY CHOICE HOME HEALTHCARE SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 2015
Last certification
Apr 26, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 7, 2003 in OH
Enrollment address
2021 E. Dublin-Granville Road
Suite 136
Columbus, OH 43229-2254

Care Compare: Home health agency

Medicare Care Compare
Listed as
Family Choice Home Healthcare Services, LLCCCN 369113 · All quality measures
Ownership
Proprietary
Certified
Apr 30, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

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
36D2066922Family Choice Home Healthcare2021 E Dublin-Granville Rd, Columbus, OH 43229Certificate of waiverJul 2, 2028

National Provider Directory

National Provider Directory

Locations

2021 E Dublin Granville Rd
Ste 136
Columbus, OH 43229
Phone (614) 406-4460

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
Ike Mgbatogu Individual 5% Or Greater Direct Ownership Interest Jul 7, 2003 100%
W-2 Managing Employee Jul 7, 2003 100%

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1649526138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E. DUBLIN GRANVILLE RD",
            "address_2": "SUITE 136",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-406-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E. DUBLIN GRANVILLE RD",
            "address_2": "SUITE 136",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-406-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHOICE HOME HEALTHCARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "MGBATOGU",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "614-406-4460"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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.