Organization Active NPI

Northstar Home Healthcare, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1871040477
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHSTAR HOME HEALTHCARE, LLC
Practice address
1495 Morse Rd Ste 306
Columbus, OH 43229-6434
Phone
(614) 368-7330
Fax
(614) 368-7331
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Mr. Shukri Mire
Title
President
Phone
(614) 432-6369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1495 Morse Rd Ste 306
Columbus, OH 43229-6434

Mailing address

1495 Morse Rd Ste 306
Columbus, OH 43229-6434
Phone (614) 368-7330

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherOHN/A

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203001115 OH Part A Provider - Home Health Agency 7810270550 Practice locations: Columbus, OH

Home health agency certification: CCN 369188

Legal name
NORTHSTAR HOME HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 26, 2018
Last certification
Feb 26, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 5, 2016 in OH
Enrollment address
1495 Morse Rd
Ste 306
Columbus, OH 43229-6434

Care Compare: Home health agency

Medicare Care Compare
Listed as
Northstar Home Healthcare LLCCCN 369188
Ownership
Proprietary
Certified
Feb 26, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
36D2121409Northstar Home Healthcare, LLC1495 Morse Rd Suite 306, Columbus, OH 43229Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Locations

1495 Morse Rd
Ste 306
Columbus, OH 43229
Phone (614) 368-7330

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
Shukri Mire Individual 5% Or Greater Direct Ownership Interest Jul 5, 2016 100%
W-2 Managing Employee Jul 5, 2016

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1871040477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD STE 306",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296434",
            "telephone_number": "614-368-7330",
            "fax_number": "614-368-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD STE 306",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296434",
            "telephone_number": "614-368-7330",
            "fax_number": "614-368-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "MIRE",
        "authorized_official_first_name": "SHUKRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-432-6369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "N/A",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.