Active NPI
Nationwide Home Healthcare, Corp.
- Home Health Agency
- Gahanna, OH
National Provider Identifier
1699889808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NATIONWIDE HOME HEALTHCARE, CORP.
- Practice address
- 610 Taylor Station Rd Ste B
Gahanna, OH 43230-3586 - Phone
- (614) 322-2242
- Fax
- (614) 322-2241
- NPI assigned
- Aug 18, 2006
- 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
- Vilayphone Thawnghmung
- Title
- Ceo
- Phone
- (614) 322-2242
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
610 Taylor Station Rd Ste B
Gahanna, OH 43230-3586
Mailing address
4418 Summit View Rd
Dublin, OH 43016-8425
Phone (614) 327-7630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2559459 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050119000154 | OH | Part A Provider - Home Health Agency | 2365491198 | Practice locations: Gahanna, OH |
Home health agency certification: CCN 368099
- Legal name
- NATIONWIDE HOME HEALTHCARE, CORP.
- Doing business as
- NATIONWIDE HOME HEALTHCARE, CORP.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 11, 2005
- Last certification
- Jan 29, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 30, 2004 in OH
- Enrollment address
- 610 Taylor Station Rd
Ste B
Gahanna, OH 43230-6293
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Nationwide Home Healthcare, Corp
- Ownership
- Proprietary
- Certified
- May 11, 2005
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, 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 |
|---|---|---|---|
| 36D1035219 | Nationwide Home Healthcare, Corp | Certificate of waiver | Dec 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
4211 Donlyn Ct
Columbus, OH 43232
Phone (614) 322-2242
610 Taylor Station Rd
Ste B
Gahanna, OH 43230
Phone (614) 322-2242
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Vilayphone Thawnghmung | 5% Or Greater Direct Ownership Interest | Dec 1, 2004 | 50% |
| Corporate Director | Jan 19, 2005 | ||
| W-2 Managing Employee | Dec 1, 2004 | ||
| Sopheap Som | 5% Or Greater Direct Ownership Interest | Dec 1, 2004 | 50% |
| Corporate Director | Jan 19, 2005 | ||
| W-2 Managing Employee | Dec 1, 2004 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704672000000",
"number": "1699889808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4418 SUMMIT VIEW RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168425",
"telephone_number": "614-327-7630",
"fax_number": "614-322-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 TAYLOR STATION RD STE B",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303586",
"telephone_number": "614-322-2242",
"fax_number": "614-322-2241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONWIDE HOME HEALTHCARE, CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A",
"authorized_official_last_name": "THAWNGHMUNG",
"authorized_official_first_name": "VILAYPHONE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-322-2242"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2559459",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.