Organization Active NPI

House of Heaven Health Care, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1861749772
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 25, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CareCCN 369150
Ownership
Proprietary
Certified
Jul 9, 2016
Medicare certification status
ActiveFrom 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
36D2062944House of Heaven Health Care, LLC6161 Busch Blvd Ste 122, Columbus, OH 43229Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Nour H Mohammad Individual 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

Verify at the official NPI Registry.