Organization Active NPI

Central Ohio Health Care Systems, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1750408340
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CENTRAL OHIO HEALTH CARE SYSTEMS, LLC
Practice address
3303 Sullivant Ave
Columbus, OH 43204-1805
Phone
(614) 235-8096
Fax
(614) 235-8098
NPI assigned
Mar 26, 2007
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Ms. Geni Gabayre
Title
Ceo
Phone
(614) 235-8096

Specialties & licenses 1

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

Addresses

Primary practice location

3303 Sullivant Ave
Columbus, OH 43204-1805

Mailing address

33 S James Rd Ste 205
Columbus, OH 43213-1065
Phone (614) 235-8096

Other identifiers 2

IdentifierTypeStateIssuer
1750408340OtherOHNPI
2717788MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006001022 OH Part A Provider - Home Health Agency 0042235285 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750408340. Details of each certification follow.

Home health agency certification: CCN 368164

Legal name
CENTRAL OHIO HEALTH CARE SYSTEMS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2006
Last certification
May 3, 2018
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Enrollment address
3303 Sullivant Ave
Columbus, OH 43204-1805

Care Compare: Home health agency

Medicare Care Compare
Listed as
Central Ohio Health Care Systems, LLCCCN 368164 · All quality measures
Ownership
Non-Profit
Certified
Dec 6, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Health Care Systems LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1415 S Hamilton Rd
#D2
Columbus, OH 43227
Phone (614) 216-5161

33 S James Rd
Ste 205
Columbus, OH 43213
Phone (614) 235-8096

3948 E Main St
Whitehall, OH 43213
Phone (614) 235-8096

538 S Yearling Rd
Whitehall, OH 43213
Phone (614) 235-8096

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Central Ohio Health Care Systems LLC Organization, Columbus, OH LLC 5% Or Greater Direct Ownership Interest Aug 13, 2012 100%
Lula Islow Individual 5% Or Greater Direct Ownership InterestDon Feb 1, 2019
Operational/Managerial ControlDon Feb 1, 2019
Abubakar a. Mohamed Individual 5% Or Greater Direct Ownership Interest Aug 22, 2017 30%
5% Or Greater Indirect Ownership Interest Aug 30, 2015
Corporate DirectorCeo/Admin Aug 22, 2017 100%
W-2 Managing Employee Aug 22, 2017
Geni Gabayre Individual 5% Or Greater Direct Ownership Interest Aug 22, 2017 100%
5% Or Greater Indirect Ownership Interest Aug 22, 2015
Corporate Director Aug 22, 2017
W-2 Managing Employee Aug 22, 2017

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1750408340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S JAMES RD STE 205",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131065",
            "telephone_number": "614-235-8096",
            "fax_number": "614-235-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041805",
            "telephone_number": "614-235-8096",
            "fax_number": "614-235-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO HEALTH CARE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "GABAYRE",
        "authorized_official_first_name": "GENI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-235-8096",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750408340",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.