NPIMap

Organization Active NPI

North Care Health Services LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1932444361
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTH CARE HEALTH SERVICES LLC
Practice address
6422 E Main St Ste 201
Reynoldsburg, OH 43068-2379
Phone
(614) 633-0538
Fax
(614) 633-0541
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Betanga D NzengungNPI 1700199742
Title
RN
Phone
(614) 633-0538

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

6422 E Main St Ste 201
Reynoldsburg, OH 43068-2379

Mailing address

6400 East Main Street
Suite 202
Reynoldsburg, OH 43068-9330
Phone (614) 633-0538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130329000027 OH Part A Provider - Home Health Agency 7214172998 Practice locations: Newark, OH; Reynoldsburg, OH

Home health agency certification: CCN 369101

Legal name
NORTH CARE HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 9, 2014
Last certification
May 23, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
6422 E Main St
Ste 201
Reynoldsburg, OH 43068-2348

Care Compare: Home health agency

Medicare Care Compare
Listed as
North Care Health Services LLCCCN 369101 · All quality measures
Ownership
Proprietary
Certified
Dec 9, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

109 E Main St
Ste B
Newark, OH 43055
Phone (614) 552-1013

210 Northtowne Ct
Ste B
Newark, OH 43055
Phone (614) 552-1013

6400 E Main St
Ste 202
Reynoldsburg, OH 43068
Phone (614) 340-9600

6422 E Main St
Ste 201
Reynoldsburg, OH 43068
Phone (614) 633-0538

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
Betanga D Nzengung Individual 5% Or Greater Direct Ownership Interest Dec 6, 2012 50%
W-2 Managing Employee Jan 22, 2013
Operational/Managerial Control Dec 6, 2012 100%
Kwabena O Sarkodee Individual 5% Or Greater Direct Ownership Interest Dec 6, 2012 50%
W-2 Managing Employee Jan 22, 2013
Operational/Managerial Control Dec 6, 2012 100%

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": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1932444361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 EAST MAIN STREET",
            "address_2": "SUITE 202",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689330",
            "telephone_number": "614-633-0538",
            "fax_number": "614-633-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E MAIN ST STE 201",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682379",
            "telephone_number": "614-633-0538",
            "fax_number": "614-633-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "NZENGUNG",
        "authorized_official_first_name": "BETANGA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "614-633-0538"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.