Active NPI
Covenant Home Health Care L.L.C
- Home Health Agency
- Columbus, OH
National Provider Identifier
1871826693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1881796
- Legal business name
- COVENANT HOME HEALTH CARE L.L.C
- Practice address
- 4998 W Broad St Ste 102
Columbus, OH 43228-1647 - Phone
- (614) 645-9123
- Fax
- (614) 465-9154
- NPI assigned
- Sep 11, 2009
- 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
- Dahir Ugas
- Title
- Ceo/Administrator
- Phone
- (614) 465-9123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1881796 | OH | Primary |
Addresses
Primary practice location
4998 W Broad St Ste 102
Columbus, OH 43228-1647
Mailing address
5109 W Broad St Ste 205
Columbus, OH 43228-1648
Phone (614) 645-9123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36-8329 | Other | OH | MEDICARE |
| 3094388 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090929000306 | OH | Part A Provider - Home Health Agency | 7618023987 | Practice locations: Columbus, OH |
Home health agency certification: CCN 368329
- Legal name
- COVENANT HOME HEALTH CARE L.L.C
- Doing business as
- COVENANT HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 27, 2010
- Last certification
- Dec 11, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Sep 9, 2009 in OH
- Enrollment address
- 5109 W Broad St
Ste 205
Columbus, OH 43228-1648
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Covenant Home Health Care LLC
- Ownership
- Proprietary
- Certified
- Sep 27, 2010
- 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 |
|---|---|---|---|
| 36D2001978 | Covenant Home Health Care, LLC | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Dahir Ugas | 5% Or Greater Direct Ownership Interest | Jan 5, 2020 | 33.33% |
| Corporate Officer | Jan 5, 2020 | 100% | |
| W-2 Managing Employee | Jan 5, 2020 | 100% | |
| Mohamed Hersi | 5% Or Greater Direct Ownership Interest | Jan 5, 2020 | 33.33% |
| Abdullahi Warsame | 5% Or Greater Direct Ownership Interest | Jan 5, 2020 | 33.33% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1871826693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 W BROAD ST STE 205",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281648",
"telephone_number": "614-645-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4998 W BROAD ST STE 102",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281647",
"telephone_number": "614-645-9123",
"fax_number": "614-465-9154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT HOME HEALTH CARE L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-11",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "UGAS",
"authorized_official_first_name": "DAHIR",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "614-465-9123"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "1881796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "36-8329",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3094388",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
- Corinne Eve Covel, RPH
- Jennifer Anne Covelli, PH.D.
- Covenant Health Care, LLC
- Covenant Health Services LLC
- Covenant Home Health Agency LLC
- Covenant Home Health Care Provider and Supported Living
- Covenant Home Health Plus, LLC
- Covenant House MRDD Services,LLC
- Amy Coverdale Bell
- Covermymeds Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.