Organization Active NPI

Family Home Health Care Inc

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1922439041
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY HOME HEALTH CARE INC
Practice address
1602 S Parker Rd Ste 203
Denver, CO 80231-2921
Phone
(303) 481-8253
Fax
(303) 481-8253
NPI assigned
Nov 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Mohamed I Ahmed
Title
President
Phone
(614) 254-2005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

1602 S Parker Rd Ste 203
Denver, CO 80231-2921

Mailing address

1602 S Parker Rd Ste 203
Denver, CO 80231-2921
Phone (614) 254-2005

Other identifiers 1

IdentifierTypeStateIssuer
18513590MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141104000239 CO Part A Provider - Home Health Agency 2365664596 Practice locations: Denver, CO

Home health agency certification: CCN 067543

Legal name
FAMILY HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 30, 2015
Last certification
Dec 28, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 26, 2013 in CO
Enrollment address
1602 S Parker Rd
Ste 203
Denver, CO 80231-2921

Care Compare: Home health agency

Medicare Care Compare
Listed as
Family Home Health Care IncCCN 067543 · All quality measures
Ownership
Proprietary
Certified
Oct 30, 2015
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
Tax ID family
Family Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1602 S Parker Rd
Ste 203
Denver, CO 80231
Phone (303) 481-8253

1602 S Parker Rd
Ste 312
Denver, CO 80231
Phone (303) 481-8253

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ahmed Rabi Kahin Individual Corporate DirectorBoard Member Jun 23, 2014
W-2 Managing EmployeeOffice Manager Jun 23, 2014
Mohamed I Ahmed Individual 5% Or Greater Direct Ownership Interest Jun 17, 2015 100%
Corporate OfficerCeo Nov 26, 2013
Corporate DirectorBoard Member Nov 26, 2013

NPI Registry JSON

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

{
    "created_epoch": "1385769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1922439041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 S PARKER RD STE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312921",
            "telephone_number": "614-254-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 S PARKER RD STE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312921",
            "telephone_number": "303-481-8253",
            "fax_number": "303-481-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-254-2005"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18513590",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.