Active NPI
Innovative Home Health Practice LLC
- Home Health Agency
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- INNOVATIVE HOME HEALTH PRACTICE LLC
- Practice address
- 2246 S Hamilton Rd Ste 204
Columbus, OH 43232-4317 - Phone
- (614) 914-8330
- Fax
- (614) 914-8335
- NPI assigned
- Apr 25, 2011
- Last updated
- Jan 23, 2025
- 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
- Ms. Theresah Amponsah
- Title
- Ceo
- Phone
- (614) 914-8330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Primary |
Addresses
Primary practice location
2246 S Hamilton Rd Ste 204
Columbus, OH 43232-4317
Mailing address
2246 S Hamilton Rd Ste 204
Columbus, OH 43232-4317
Phone (614) 914-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110906000668 | OH | Part A Provider - Home Health Agency | 1557531266 | Practice locations: Columbus, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902197999. Details of each certification follow.
Home health agency certification: CCN 369121
- Legal name
- INNOVATIVE HOME HEALTH PRACTICE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 24, 2015
- Last certification
- Aug 1, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 20, 2011 in OH
- Enrollment address
- 2246 S Hamilton Rd
Ste 204
Columbus, OH 43232-4317
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Innovative Home Health Practice LLC
- Ownership
- Proprietary
- Certified
- Aug 24, 2015
- 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 |
|---|---|---|---|
| 36D2027951 | Innovative Home Health Practice LLC | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
1415 S Hamilton Rd
Ste B2
Columbus, OH 43227
Phone (614) 914-8330
6161 Busch Blvd
Ste 114
Columbus, OH 43229
Phone (404) 953-0481
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 |
|---|---|---|---|
| Theresah Amponsah | 5% Or Greater Direct Ownership Interest | Apr 8, 2019 | 100% |
| W-2 Managing Employee | Apr 8, 2019 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1902197999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2246 S HAMILTON RD STE 204",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432324317",
"telephone_number": "614-914-8330",
"fax_number": "614-914-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2246 S HAMILTON RD STE 204",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432324317",
"telephone_number": "614-914-8330",
"fax_number": "614-914-8335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE HOME HEALTH PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-25",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "AMPONSAH",
"authorized_official_first_name": "THERESAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-914-8330",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"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 Jan 23, 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.