Optimal Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OPTIMAL HOME CARE LLC

Practice address

5900 Roche Dr Ste 425
Columbus, OH 43229-3293

Phone

(614) 966-9226

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdirisak Sugule

Title

Owner

Phone

(614) 966-9226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801577630. Details of each certification follow.

• CCN 369384 Home health agency · Active · Details

Home health agency certification: CCN 369384

Legal name

OPTIMAL HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 12, 2024

Last certification

Aug 22, 2024

Organization structure

LLCProprietary

Incorporated

Jul 25, 2023 in OH

Enrollment address

5900 Roche Dr
Ste 425
Columbus, OH 43229-3293

Listed as

Optimal Home Care LLCCCN 369384 · All quality measures

Ownership

-

Certified

Sep 12, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1801577630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 ROCHE DR STE 425",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293293",
            "telephone_number": "614-966-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 ROCHE DR STE 425",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293293",
            "telephone_number": "614-966-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "SUGULE",
        "authorized_official_first_name": "ABDIRISAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-966-9226"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.

Verify at the official NPI Registry.