Beloved Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BELOVED HEALTHCARE SERVICES LLC

Practice address

5969 E Livingston Ave Ste 112
Columbus, OH 43232-2907

Phone

(614) 845-8969

Fax

(614) 845-8979

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Nkontan Elizabeth BibilaNPI 1861823460

Title

Ceo

Phone

(614) 845-8969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992211130. Details of each certification follow.

• CCN 369222 Home health agency · Active · Details

Home health agency certification: CCN 369222

Legal name

BELOVED HEALTHCARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 31, 2019

Last certification

Oct 31, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Aug 3, 2016 in OH

Enrollment address

5969 East Livingston Avenue
Suite 112
Columbus, OH 43232

Listed as

Beloved Healthcare Services LLCCCN 369222 · All quality measures

Ownership

Proprietary

Certified

Oct 31, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, 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, and the practitioner matching its NPPES authorized official.

• Nkontan Bibila, LPN

  • Licensed Practical Nurse
  • Lewis Center, OH
  • NPI 1861823460
  NPD Authorized official

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1992211130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 E LIVINGSTON AVE",
            "address_2": "SUITE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322907",
            "telephone_number": "614-845-8969",
            "fax_number": "614-845-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E LIVINGSTON AVE STE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322907",
            "telephone_number": "614-845-8969",
            "fax_number": "614-845-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "BIBILA",
        "authorized_official_first_name": "NKONTAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-845-8969"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Bello, LAT,ATC
• Jenny Ivonne Bellodas Sanchez, M.D.
• Madison Skye Belluccia, FNP
• Charles Anthony Bellville, L.M.T.
• Elmoctar Beloul
• Beloved One Adult Day Center LLC
• Beloved One Home Health Care Agency
• Jessica Lee Belser, APRNCNP
• Rebecca Lynn Belt
• Bella Grace Belton, TBS

• Home Health Agency in Columbus, OH
• Providers in Columbus, 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 Mar 18, 2021; 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.