Organization Active NPI

Vakolane Home Healthcare, LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1952894990
Registry record updated Aug 12, 2025
On this page

Key facts

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

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 369246 · All quality measures
Ownership
Proprietary
Certified
Aug 2, 2020
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
36D2178373Vakolane Home Healthcare, LLC7512 Slate Ridge Blvd, Reynoldsburg, OH 43068Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Iya M Ngalla Individual Corporate Officer Jun 8, 2018
W-2 Managing Employee Jun 8, 2018
Gervase Ngalla Individual 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.

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

Verify at the official NPI Registry.