Organization Active NPI

Nationwide Home Healthcare, Corp.

  • Home Health Agency
  • Gahanna, OH
National Provider Identifier
1699889808
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 8, 2024

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)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2559459MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, CorpCCN 368099
Ownership
Proprietary
Certified
May 11, 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
36D1035219Nationwide Home Healthcare, Corp610 Taylor Station Rd, Gahanna, OH 43230Certificate of waiverDec 26, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Vilayphone Thawnghmung Individual 5% Or Greater Direct Ownership Interest Dec 1, 2004 50%
Corporate Director Jan 19, 2005
W-2 Managing Employee Dec 1, 2004
Sopheap Som Individual 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

Verify at the official NPI Registry.