Organization Active NPI

Immaculate Homehealth Care Services LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1912249509
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMMACULATE HOMEHEALTH CARE SERVICES LLC
Practice address
2180 Stelzer Rd Ste a
Columbus, OH 43219-3532
Phone
(614) 392-1865
Fax
(614) 392-1866
NPI assigned
Mar 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda Chinonso UzombaNPI 1548563232
Title
Administrator
Phone
(614) 569-1236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2180 Stelzer Rd Ste a
Columbus, OH 43219-3532

Mailing address

2180 Stelzer Rd Ste a
Columbus, OH 43219-3532
Phone (614) 392-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130522000751 OH Part A Provider - Home Health Agency 4284872714 Practice locations: Columbus, OH

Home health agency certification: CCN 369066

Legal name
IMMACULATE HOMEHEALTH CARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 26, 2014
Last certification
Mar 26, 2014
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 28, 2013 in OH
Enrollment address
5670 Westbourne Ave
Columbus, OH 43213-1485

Care Compare: Home health agency

Medicare Care Compare
Listed as
Immaculate Home Health Care Services LLCCCN 369066
Ownership
Proprietary
Certified
Mar 26, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

2999 E Dublin Granville Rd
Ste 214
Columbus, OH 43231
Phone (614) 392-1966

5670 Westbourne Ave
Columbus, OH 43213
Phone (614) 392-1865

6463 Proprietors Rd
Ste 1
Worthington, OH 43085
Phone (614) 569-1236

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
Brenda C Uzomba Individual 5% Or Greater Direct Ownership Interest Mar 21, 2012 100%
W-2 Managing Employee Mar 21, 2013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1912249509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 STELZER RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193532",
            "telephone_number": "614-392-1865",
            "fax_number": "614-392-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 STELZER RD STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193532",
            "telephone_number": "614-392-1865",
            "fax_number": "614-392-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HOMEHEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "UZOMBA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "CHINONSO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-569-1236",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.