NPIMap

Organization Active NPI

Holistic Life Home Health Care LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1861733263
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLISTIC LIFE HOME HEALTH CARE LLC
Practice address
2101 S Hamilton Rd Ste 102
Columbus, OH 43232-4144
Phone
(614) 317-1830
Fax
(614) 417-5276
NPI assigned
Mar 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Duncan MwangiNPI 1174222335
Title
President
Phone
(614) 316-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2101 S Hamilton Rd Ste 102
Columbus, OH 43232-4144

Mailing address

2101 S Hamilton Rd Ste 102
Columbus, OH 43232-4144
Phone (614) 317-1830

Other names 1

  • Holistic Home Healthcare LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130730000275 OH Part A Provider - Home Health Agency 7517108822 Practice locations: Columbus, OH

Home health agency certification: CCN 369120

Legal name
HOLISTIC LIFE HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 24, 2015
Last certification
Jun 6, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 14, 2013 in OH
Enrollment address
2101 S Hamilton Road
Ste 102
Columbus, OH 43232-4144

Care Compare: Home health agency

Medicare Care Compare
Listed as
Holistic Life Home Health Care LLCCCN 369120
Ownership
Proprietary
Certified
Jun 24, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Holistic Home Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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
Duncan Mwangi Individual 5% Or Greater Direct Ownership InterestBoard President/Treasurer Jan 14, 2013 50%
Corporate DirectorAdministrator/Treasurer Jan 14, 2013 50%
Damaris Maina Individual 5% Or Greater Direct Ownership InterestBoard Sec/Alt Admin/Director Jan 14, 2013 50%
Corporate DirectorBoard Sec/Alt Admin/ Director Jan 14, 2013 50%
W-2 Managing EmployeeBoard Sec/Alt Admin/Alt Director Jan 14, 2013 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1861733263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S HAMILTON RD STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324144",
            "telephone_number": "614-317-1830",
            "fax_number": "614-417-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S HAMILTON RD STE 102",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324144",
            "telephone_number": "614-317-1830",
            "fax_number": "614-417-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC LIFE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-09",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-316-2800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Home Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Holistic Home Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.