Active NPI
Ambassador Home Health Services, LLC
- Home Health Agency
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMBASSADOR HOME HEALTH SERVICES, LLC
- Practice address
- 7449 E Main St
Reynoldsburg, OH 43068-1205 - Phone
- (614) 577-1950
- Fax
- (614) 577-1956
- NPI assigned
- Jul 18, 2006
- Last updated
- Apr 27, 2022
- 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
- Tara Lynn Linton
- Title
- Financial Manager
- Phone
- (614) 577-1950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
7449 E Main St
Reynoldsburg, OH 43068-1205
Mailing address
7449 E Main St
Reynoldsburg, OH 43068-1205
Phone (614) 577-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2778696 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061130000060 | OH | Part A Provider - Home Health Agency | 4688672660 | Practice locations: Reynoldsburg, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972521664. Details of each certification follow.
Home health agency certification: CCN 368201
- Legal name
- AMBASSADOR HOME HEALTH SERVICES, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 26, 2007
- Last certification
- Aug 9, 2017
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Enrollment address
- 6434 E Main St
Ste 205
Reynoldsburg, OH 43068-2574
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ambassador Home Health Services
- Ownership
- Proprietary
- Certified
- Sep 26, 2007
- Medicare certification status
- Active
- Services
- Nursing, 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 |
|---|---|---|---|
| 36D1063480 | Ambassador Home Health | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
2300 S Hamilton Rd
Columbus, OH 43232
Phone (614) 577-1950
111 S Broad St
Ste 109
Lancaster, OH 43130
Phone (614) 577-1950
6434 E Main St
Ste 205
Reynoldsburg, OH 43068
Phone (614) 577-1950
7449 E Main St
Reynoldsburg, OH 43068
Phone (614) 577-1950
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Gagan Bastola | 5% Or Greater Indirect Ownership Interest | Nov 25, 2024 | 10% |
| Limited Partnership Interest | Nov 25, 2024 | 10% | |
| Corporate Director | Nov 25, 2024 | 10% | |
| Yam Mishra | 5% Or Greater Indirect Ownership Interest | Nov 25, 2024 | 20% |
| Limited Partnership Interest | Nov 25, 2024 | 20% | |
| Corporate Director | Nov 25, 2024 | 20% | |
| W-2 Managing Employee | Nov 25, 2024 | 20% | |
| Balaram Katel | 5% Or Greater Indirect Ownership Interest | Nov 25, 2024 | 10% |
| Limited Partnership Interest | Nov 25, 2024 | 10% | |
| Corporate Director | Nov 25, 2024 | 10% | |
| Radhika Acharya | 5% Or Greater Direct Ownership Interest | Nov 25, 2024 | 40% |
| Limited Partnership Interest | Nov 25, 2024 | 40% | |
| Corporate Officer | Nov 25, 2024 | 40% | |
| Jagat Acharya | 5% Or Greater Indirect Ownership Interest | Nov 25, 2024 | 20% |
| Limited Partnership Interest | Nov 25, 2024 | 20% | |
| Corporate Director | Nov 25, 2024 | 20% |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
- NPI 1720858384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651017600000",
"number": "1972521664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7449 E MAIN ST",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681205",
"telephone_number": "614-577-1950",
"fax_number": "614-577-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7449 E MAIN ST",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681205",
"telephone_number": "614-577-1950",
"fax_number": "614-577-1956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBASSADOR HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A",
"authorized_official_last_name": "LINTON",
"authorized_official_first_name": "TARA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "FINANCIAL MANAGER",
"authorized_official_telephone_number": "614-577-1950"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2778696",
"state": "OH"
}
],
"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 Apr 27, 2022; 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.