Organization Active NPI

Innovative Home Health Practice LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1902197999
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 369121 · All quality measures
Ownership
Proprietary
Certified
Aug 24, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
36D2027951Innovative Home Health Practice LLC2246 South Hamilton Road, Columbus, OH 43232Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Theresah Amponsah Individual 5% Or Greater Direct Ownership Interest Apr 8, 2019 100%
W-2 Managing EmployeeCeo 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

Verify at the official NPI Registry.