Active NPI
Vakolane Home Healthcare, LLC
- Home Health Agency
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- VAKOLANE HOME HEALTHCARE, LLC
- Practice address
- 7512 Slate Ridge Blvd
Reynoldsburg, OH 43068-8188 - Phone
- (614) 699-2969
- NPI assigned
- Jun 13, 2018
- Last updated
- Aug 12, 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
- Mr. Gervase Che Ngalla
- Title
- Administrator
- Phone
- (740) 644-1725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
7512 Slate Ridge Blvd
Reynoldsburg, OH 43068-8188
Mailing address
453 Waterbury CT
Columbus, OH 43230-5309
Phone (614) 699-2969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190225002628 | OH | Part A Provider - Home Health Agency | 4981943636 | Practice locations: Columbus, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952894990. Details of each certification follow.
Home health agency certification: CCN 369246
- Legal name
- VAKOLANE HOME HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 2, 2020
- Last certification
- Aug 2, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 8, 2018 in OH
- Enrollment address
- 453 Waterbury CT
Columbus, OH 43230
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Vakolane Home Healthcare LLC
- Ownership
- Proprietary
- Certified
- Aug 2, 2020
- 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 |
|---|---|---|---|
| 36D2178373 | Vakolane Home Healthcare, LLC | Certificate of waiver | Jan 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
453 Waterbury Ct
Gahanna, OH 43230
Phone (614) 381-9795
1653 Brice Rd
Uppr
Reynoldsburg, OH 43068
Phone (513) 259-5380
7512 Slate Ridge Blvd
Reynoldsburg, OH 43068
Phone (614) 699-2969
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Iya M Ngalla | Corporate Officer | Jun 8, 2018 | |
| W-2 Managing Employee | Jun 8, 2018 | ||
| Gervase Ngalla | 5% Or Greater Direct Ownership Interest | Jun 8, 2018 | 100% |
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Gahanna, OH
- NPI 1205409869
-
- Family Nurse Practitioner
- Upper Arlington, OH
- NPI 1447540695
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1043264716
-
- Family Medicine Physician
- Polson, MT
- NPI 1376751156
-
- Medical Physician Assistant
- Gahanna, OH
- NPI 1669031118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1952894990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 WATERBURY CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432305309",
"telephone_number": "614-699-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 SLATE RIDGE BLVD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688188",
"telephone_number": "614-699-2969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAKOLANE HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "NGALLA",
"authorized_official_first_name": "GERVASE",
"authorized_official_middle_name": "CHE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "740-644-1725",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.