Organization Active NPI

Medina Home Healthcare LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1861786287
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDINA HOME HEALTHCARE LLC
Practice address
6954 Americana Pkwy Ste B
Reynoldsburg, OH 43068-4115
Phone
(614) 396-6806
Fax
(614) 396-6807
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Nirmala Adhikari
Title
Owner/Ceo
Phone
(614) 396-6806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6954 Americana Pkwy Ste B
Reynoldsburg, OH 43068-4115

Mailing address

6954 Americana Pkwy Ste B
Reynoldsburg, OH 43068-4115
Phone (614) 396-6806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000446 OH Part A Provider - Home Health Agency 5294903050 Practice locations: Reynoldsburg, OH

Home health agency certification: CCN 368449

Legal name
MEDINA HOME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2012
Last certification
Sep 13, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 29, 2011 in OH
Enrollment address
6954 Americana Pkwy
Ste B
Reynoldsburg, OH 43068-4115

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medina Home Healthcare LLCCCN 368449 · All quality measures
Ownership
Proprietary
Certified
Oct 17, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5825 Westbourne Ave
Ste A
Columbus, OH 43213

6954 Americana Pkwy
Ste B
Reynoldsburg, OH 43068
Phone (614) 396-6806

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meena Sharma Individual 5% Or Greater Indirect Ownership InterestBoard of Director Mar 18, 2019 13%
Khada Khatiwada Individual 5% Or Greater Indirect Ownership InterestBoard of Director Mar 18, 2019 18%
Tika Adhikari Individual 5% Or Greater Indirect Ownership InterestBoard of Director Mar 18, 2019 11%
Dadi R Adhikari Individual 5% Or Greater Indirect Ownership InterestBoard of Director Mar 18, 2019 12%
Laxmi Dhakal Individual 5% Or Greater Indirect Ownership InterestBoard of Director Mar 18, 2019 10%
Nirmala Adhikari Individual 5% Or Greater Indirect Ownership InterestOwner Ceo Manager Mar 18, 2019 23%
Corporate DirectorOwner Ceo Manager Mar 18, 2019 23%
Megh Adhikari Individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 77%
Lamitare Brothers LLC Organization, Columbus, OH Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Mar 18, 2019 100%
Mahindra Adhikari Individual 5% Or Greater Indirect Ownership InterestBoard of Director Mar 18, 2019 13%
W-2 Managing Employee Apr 10, 2019
Yoga N Adhikari Individual Corporate OfficerAdministrator Jan 1, 2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1861786287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6954 AMERICANA PKWY STE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684115",
            "telephone_number": "614-396-6806",
            "fax_number": "614-396-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6954 AMERICANA PKWY STE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684115",
            "telephone_number": "614-396-6806",
            "fax_number": "614-396-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "ADHIKARI",
        "authorized_official_first_name": "NIRMALA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "614-396-6806"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.