Active NPI
House of Heaven Health Care, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1861749772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOUSE OF HEAVEN HEALTH CARE, LLC
- Practice address
- 50 Old Village Rd Ste 206
Columbus, OH 43228-5500 - Phone
- (614) 505-6722
- Fax
- (614) 505-7982
- NPI assigned
- Aug 9, 2012
- 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
- Ms. Nour Mohammad
- Title
- Ceo
- Phone
- (614) 505-6722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
50 Old Village Rd Ste 206
Columbus, OH 43228-5500
Mailing address
50 Old Village Rd Ste 206
Columbus, OH 43228-5500
Phone (614) 505-6722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130208000338 | OH | Part A Provider - Home Health Agency | 2860646320 | Practice locations: Columbus, OH |
Home health agency certification: CCN 369150
- Legal name
- HOUSE OF HEAVEN HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 9, 2016
- Last certification
- Sep 12, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jul 3, 2012 in OH
- Enrollment address
- 6161 Busch Blvd
Ste 122
Columbus, OH 43229
Care Compare: Home health agency
Medicare Care Compare- Listed as
- House of Heaven Health Care
- Ownership
- Proprietary
- Certified
- Jul 9, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 36D2062944 | House of Heaven Health Care, LLC | Certificate of waiver | Apr 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
6161 Busch Blvd
Ste 122
Columbus, OH 43229
Phone (614) 505-6722
50 Old Village Rd
Ste 206
Columbus, OH 43228
Phone (614) 432-1680
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nour H Mohammad | 5% Or Greater Direct Ownership Interest | Jul 30, 2012 | 100% |
| W-2 Managing Employee | Dec 13, 2012 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750809600000",
"number": "1861749772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 OLD VILLAGE RD STE 206",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432285500",
"telephone_number": "614-505-6722",
"fax_number": "614-505-7982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 OLD VILLAGE RD STE 206",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432285500",
"telephone_number": "614-505-6722",
"fax_number": "614-505-7982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE OF HEAVEN HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-09",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A",
"authorized_official_last_name": "MOHAMMAD",
"authorized_official_first_name": "NOUR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-505-6722",
"authorized_official_name_prefix": "Ms."
},
"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 Jun 25, 2025; 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.