Organization Active NPI

Multihealth Systems, LLC

Doing business as Ability Home Health

  • Home Health Agency
  • Coeur d'Alene, ID
National Provider Identifier
1821559097
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MULTIHEALTH SYSTEMS, LLC
Doing business as
Ability Home Health
Practice address
250 Northwest Blvd Ste 211
Coeur D Alene, ID 83814-2973
Phone
(208) 930-1819
NPI assigned
Mar 28, 2019
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Rousal Mahakam, RN, BSN, MBA
Title
Owner
Phone
(208) 930-1819

Specialties & licenses 1

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

Addresses

Primary practice location

250 Northwest Blvd Ste 211
Coeur D Alene, ID 83814-2973

Mailing address

250 Northwest Blvd Ste 211
Coeur D Alene, ID 83814-2973
Phone (208) 930-1819

Other names 1

  • Ability Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190611002375 ID Part A Provider - Home Health Agency 1355674086 Practice locations: Coeur D Alene, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821559097. Details of each certification follow.

Home health agency certification: CCN 137139

Legal name
MULTIHEALTH SYSTEMS LLC
Doing business as
ABILITY HOME HEALTH
Certification status
Terminated Voluntary: merger or closure, Nov 1, 2025
Provider type (POS)
Home health agency
Participating since
Nov 18, 2019
Last certification
Nov 18, 2019
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Enrollment address
250 Northwest Blvd
Ste 211
Coeur D Alene, ID 83814-2973

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ability Home HealthCCN 137139 · All quality measures
Overall star rating
1.5 of 5
Ownership
Non-Profit
Certified
Nov 18, 2019
Medicare certification status
Terminated Voluntary: merger or closure, Nov 1, 2025From the Provider of Services file
Services
Nursing, Medical social, 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
13D2169779Multihealth Systems LLC250 Northwest Blvd Ste 211, Coeur D'Alene, ID 83814Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Locations

118 W Neider Ave
Coeur D Alene, ID 83815

118 W Neider Ave
Ste B
Coeur D Alene, ID 83815
Phone (208) 930-1819

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
Cindy Holman Individual 5% Or Greater Direct Ownership Interest Mar 6, 2019 50%
General Partnership InterestMember Manager/Clinical Director Mar 6, 2019 50%
Operational/Managerial ControlMember Manager/Clinical Director Mar 6, 2019 50%
Rousal Mahakam Individual 5% Or Greater Direct Ownership InterestMember Manager/Administrator Mar 6, 2019 50%
General Partnership InterestMember Manager/Administrator Mar 6, 2019 50%
Operational/Managerial ControlMember Manager/Administrator Mar 6, 2019 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1821559097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 211",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142973",
            "telephone_number": "208-930-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NORTHWEST BLVD STE 211",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142973",
            "telephone_number": "208-930-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIHEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "MAHAKAM",
        "authorized_official_first_name": "ROUSAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-930-1819",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ability Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ability Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.