Organization Active NPI

Pure Health Care, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1689792731
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURE HEALTH CARE, LLC
Practice address
1960 Bethel Rd.
Suite 250
Columbus, OH 43220
Phone
(614) 457-0909
Fax
(614) 457-6945
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Mrs. Olga Eskin
Title
Owner
Phone
(614) 457-0909

Specialties & licenses 1

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

Addresses

Primary practice location

1960 Bethel Rd.
Suite 250
Columbus, OH 43220

Mailing address

1960 Bethel Rd.
Suite 250
Columbus, OH 43220
Phone (614) 457-0909

Other identifiers 1

IdentifierTypeStateIssuer
2579660MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050320000001 OH Part A Provider - Home Health Agency 7719932094 Practice locations: Columbus, OH

Home health agency certification: CCN 368102

Legal name
PURE HEALTH CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 22, 2005
Last certification
Jan 15, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 1, 2004 in OH
Enrollment address
1960 Bethel Rd
Ste 250
Columbus, OH 43220-1815

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pure Health Care, LLCCCN 368102 · All quality measures
Ownership
Proprietary
Certified
Jun 22, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, 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
36D1038461Pure Health Care LLC1960 Bethel Road, Columbus, OH 43220Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

Locations

5845 Sawmill Rd
Dublin, OH 43017
Phone (614) 791-0909

3280 Riverside Dr
Ste 25
Upper Arlington, OH 43221
Phone (614) 457-0909

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
Olga Eskin Individual 5% Or Greater Direct Ownership Interest Aug 25, 2004 25%
W-2 Managing EmployeeAdministrator Aug 25, 2004 25%
Irina Ridenhour Individual 5% Or Greater Direct Ownership Interest Aug 25, 2004 50%
W-2 Managing EmployeeCeo Aug 25, 2004 50%
Svetlana Tverskaya Individual 5% Or Greater Direct Ownership Interest Aug 25, 2004 25%
W-2 Managing EmployeeHR Director Aug 25, 2004 25%

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1689792731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 BETHEL RD.",
            "address_2": "SUITE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-457-0909",
            "fax_number": "614-457-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 BETHEL RD.",
            "address_2": "SUITE 250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-457-0909",
            "fax_number": "614-457-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "ESKIN",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-457-0909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2579660",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.