NPIMap

Organization Active NPI

Scioto Home Healthcare LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1699195206
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SCIOTO HOME HEALTHCARE LLC
Practice address
2700 E Dublin Granville Rd Suite 240
Columbus, OH 43231-4073
Phone
(614) 804-0911
Fax
(614) 426-4044
NPI assigned
Apr 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Abdirashid A Haji, OWNERNPI 1346134376
Title
Administrator
Phone
(614) 426-4040

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
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

2700 E Dublin Granville Rd Suite 240
Columbus, OH 43231-4073

Mailing address

2700 E Dublin Granville Rd Ste 240
Columbus, OH 43231-4073
Phone (614) 804-0911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140701001979 OH Part A Provider - Home Health Agency 5597980771 Practice locations: Columbus, OH

Home health agency certification: CCN 369141

Legal name
SCIOTO HOME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 16, 2016
Last certification
Jan 24, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 16, 2014 in OH
Enrollment address
2700 E Dublin Granville Rd
Suite 240
Columbus, OH 43231

Care Compare: Home health agency

Medicare Care Compare
Listed as
Scioto Home Healthcare LLCCCN 369141
Ownership
Proprietary
Certified
Mar 16, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

3296 Westerville Rd
Ste 1
Columbus, OH 43224
Phone (614) 804-0911

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
Abdirashid a Haji Individual 5% Or Greater Direct Ownership Interest Sep 30, 2019 92%
Corporate Director Sep 30, 2019
Other Apr 16, 2014 92%
Maryan Hersi Individual Contracted Managing EmployeeRegistered Nurse Sep 30, 2019 8%
5% Or Greater Direct Ownership Interest Sep 30, 2019 8%
Other Sep 30, 2019 8%

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": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1699195206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E DUBLIN GRANVILLE RD STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314073",
            "telephone_number": "614-804-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E DUBLIN GRANVILLE RD SUITE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314073",
            "telephone_number": "614-804-0911",
            "fax_number": "614-426-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIOTO HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "HAJI",
        "authorized_official_first_name": "ABDIRASHID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-426-4040",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.