Organization Active NPI

Ameristar Home Healthcare, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1861947566
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERISTAR HOME HEALTHCARE, LLC
Practice address
5668 Columbus SQ
Columbus, OH 43231-2845
Phone
(614) 489-7272
Fax
(614) 489-7272
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Abdi Mohamed
Title
Owner
Phone
(614) 668-9325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5668 Columbus SQ
Columbus, OH 43231-2845

Mailing address

5668 Columbus SQ
Columbus, OH 43231-2845
Phone (614) 489-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221000155 OH Part A Provider - Home Health Agency 7810278314 Practice locations: Columbus, OH

Home health agency certification: CCN 369169

Legal name
AMERISTAR HOME HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 1, 2017
Last certification
Nov 1, 2017
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Aug 1, 2016 in OH
Enrollment address
5668 Columbus SQ
Columbus, OH 43231-2845

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ameristar Home Healthcare LLCCCN 369169
Ownership
Non-Profit
Certified
Nov 1, 2017
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
36D2126877Ameristar Home Healthcare, LLC5668 Columbus Square, Columbus, OH 43231Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Locations

2999 E Dublin Granville Rd
Ste 105
Columbus, OH 43231
Phone (614) 668-9325

5668 Columbus Sq
Columbus, OH 43231
Phone (614) 489-7272

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
Abdi Mohamed Individual 5% Or Greater Direct Ownership Interest Aug 1, 2016 50%
Corporate DirectorPresident, Secretary, Board Memb Aug 1, 2016 50%
W-2 Managing EmployeePresident Aug 1, 2016 100%

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1861947566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5668 COLUMBUS SQ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312845",
            "telephone_number": "614-489-7272",
            "fax_number": "614-489-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 COLUMBUS SQ",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312845",
            "telephone_number": "614-489-7272",
            "fax_number": "614-489-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERISTAR HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2022-11-03",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-668-9325"
    },
    "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.