Active NPI
Enriched Care Home Health Services
- Home Health Agency
- Columbus, OH
National Provider Identifier
1841890886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ENRICHED CARE HOME HEALTH SERVICES
- Practice address
- 2021 E Dublin Granville Rd Ste 270
Columbus, OH 43229-3568 - Phone
- (614) 432-1235
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hilaal Daad, NR
- Title
- Manager
- Phone
- (614) 432-1235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2021 E Dublin Granville Rd Ste 270
Columbus, OH 43229-3568
Mailing address
2021 E Dublin Granville Rd Ste 270
Columbus, OH 43229-3568
Phone (614) 432-1235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210408000386 | OH | Part A Provider - Home Health Agency | 0749697811 | Practice locations: Columbus, OH |
Home health agency certification: CCN 369285
- Legal name
- ENRICHED CARE HOME HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 28, 2021
- Last certification
- Sep 28, 2021
- Organization structure
- LLC
- Incorporated
- Oct 22, 2020 in OH
- Enrollment address
- 2021 E Dublin Granville Rd
Ste 270
Columbus, OH 43229-3568
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Enriched Care Home Health Services, LLC
- Ownership
- -
- Certified
- Sep 28, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2225682 | Enriched Care Home Health Services, LLC | Certificate of waiver | May 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
2021 E Dublin Granville Rd
Ste 270
Columbus, OH 43229
Phone (614) 396-9893
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sagal Odawa | Contracted Managing Employee | Oct 22, 2020 | |
| 5% Or Greater Direct Ownership Interest | Oct 22, 2020 | 50% | |
| Hilaal Daad | 5% Or Greater Direct Ownership Interest | Oct 22, 2020 | 50% |
| W-2 Managing Employee | Oct 22, 2020 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1841890886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E DUBLIN GRANVILLE RD STE 270",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293568",
"telephone_number": "614-432-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E DUBLIN GRANVILLE RD STE 270",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293568",
"telephone_number": "614-432-1235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENRICHED CARE HOME HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "DAAD",
"authorized_official_first_name": "HILAAL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "614-432-1235",
"authorized_official_credential": "NR"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 29, 2020; 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.