Active NPI
Ameristar Home Healthcare, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1861947566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Non-Profit
- Certified
- Nov 1, 2017
- 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 |
|---|---|---|---|
| 36D2126877 | Ameristar Home Healthcare, LLC | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Abdi Mohamed | 5% Or Greater Direct Ownership Interest | Aug 1, 2016 | 50% |
| Corporate Director | Aug 1, 2016 | 50% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.