Philemon Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHILEMON HOME HEALTH CARE LLC

Practice address

81 Mill Street Suite 300 Office Number 118
Gahanna, OH 43230-1718

Phone

(614) 414-7911

Fax

(614) 414-0775

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Mahlet Berhanu WoldesemayatNPI 1790933760

Title

Ceo

Phone

(614) 414-7911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368436

Legal name

PHILEMON HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 24, 2012

Last certification

Aug 24, 2012

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 26, 2009 in OH

Enrollment address

81 Mill St
Ste 300
Gahanna, OH 43230-1718

Listed as

Philemon Home Health Care, LLCCCN 368436

Ownership

Proprietary

Certified

Aug 24, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahlet Berhanu Woldesemayat, RN

  • Home Health Aide
  • Columbus, OH
  • NPI 1790933760
  NPD Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982928339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MILL STREET SUITE 300 OFFICE NUMBER 118",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301718",
            "telephone_number": "614-414-7911",
            "fax_number": "614-414-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MILL STREET SUITE 300 OFFICE NUMBER 118",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301718",
            "telephone_number": "614-414-7911",
            "fax_number": "614-414-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILEMON HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WOLDESEMAYAT",
        "authorized_official_first_name": "MAHLET",
        "authorized_official_middle_name": "BERHANU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-414-7911"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita M Petri Pickstone, MD
• Edward Bradley Pewitt, M.D.
• Kimberly Peyton-Snowden
• Sandra S Phalen, PHD
• Amanda Pham
• Alicia Philip, NP-C
• Physical Therapy Specialists of Ohio LLC
• Physiotherapy Associates
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc

• Home Health Agency in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.