Active NPI
Ohio Senior Home Health Care LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1881839306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1789692
- Legal business name
- OHIO SENIOR HOME HEALTH CARE LLC
- Practice address
- 6004 Cleveland Ave
Columbus, OH 43231-2230 - Phone
- (614) 470-6070
- NPI assigned
- Dec 12, 2008
- Last updated
- May 17, 2012
- 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
- Saeed H Ali
- Title
- President
- Phone
- (614) 470-6070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1789692 | OH | Primary |
Addresses
Primary practice location
6004 Cleveland Ave
Columbus, OH 43231-2230
Mailing address
6004 Cleveland Ave
Columbus, OH 43231-2230
Phone (614) 470-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090304000242 | OH | Part A Provider - Home Health Agency | 3971669623 | Practice locations: Columbus, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881839306. Details of each certification follow.
Home health agency certification: CCN 368284
- Legal name
- OHIO SENIOR HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 29, 2010
- Last certification
- Mar 20, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Dec 18, 2008 in OH
- Enrollment address
- 6004 Cleveland Ave
Columbus, OH 43231-2230
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ohio Senior Home Health Care, LLC
- Ownership
- Proprietary
- Certified
- Jan 29, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1636 E Livingston Ave
Columbus, OH 43205
Phone (614) 470-6070
6004 Cleveland Ave
Columbus, OH 43231
Phone (614) 470-6070
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 |
|---|---|---|---|
| Devendran Sriramanane | 5% Or Greater Direct Ownership Interest | Apr 24, 2023 | 100% |
| Corporate Officer | Apr 24, 2023 | 100% | |
| W-2 Managing Employee | Apr 24, 2023 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337212800000",
"number": "1881839306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6004 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432312230",
"telephone_number": "614-470-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6004 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432312230",
"telephone_number": "614-470-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO SENIOR HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-12",
"last_updated": "2012-05-17",
"status": "A",
"authorized_official_last_name": "ALI",
"authorized_official_first_name": "SAEED",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-470-6070"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "1789692",
"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 May 17, 2012; 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.