Organization Active NPI

Peace Home Care Services LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1720415755
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0067739 Issued in OH
Legal business name
PEACE HOME CARE SERVICES LLC
Practice address
1415 S Hamilton Rd Ste C1
Columbus, OH 43227-1343
Phone
(614) 732-5077
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Ahmed Adan
Title
Owner
Phone
(614) 596-6921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0067739 OH Primary

Addresses

Primary practice location

1415 S Hamilton Rd Ste C1
Columbus, OH 43227-1343

Mailing address

1415 S Hamilton Rd Ste C1
Columbus, OH 43227-1343
Phone (614) 732-5077

Other identifiers 2

IdentifierTypeStateIssuer
0067739MedicaidOH
368409OtherOHMEDICARE

National Provider Directory

National Provider Directory

Locations

1415 S Hamilton Rd
Ste C1
Columbus, OH 43227
Phone (614) 732-5077

923 E Broad St
Columbus, OH 43205
Phone (614) 732-5071

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1720415755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S HAMILTON RD STE C1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271343",
            "telephone_number": "614-732-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S HAMILTON RD STE C1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271343",
            "telephone_number": "614-732-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "ADAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-596-6921"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "0067739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067739",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "368409",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.