Active NPI
Northstar Home Healthcare, LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1871040477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | OH | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- Proprietary
- Certified
- Feb 26, 2018
- Medicare certification status
- Active
- Services
- Nursing, 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 |
|---|---|---|---|
| 36D2121409 | Northstar Home Healthcare, LLC | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shukri Mire | 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
- Northland Hearing Center, Inc.
- Northland Medical Associates, Inc
- Northland Preparatory & Fitness Academy
- James Herschel Northrup
- Northstar Family Practice Inc
- Northstar Medical Transportation LLC
- Northwest Couseling Services
- Northwest Eye Surgeons
- Northwest Eye Surgeons Inc
- Northwest Eyecare Professionals LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.