HOMELAND CLINIC
NPI 1356020515
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbus, OH

Active since July 14, 2023
3505 E LIVINGSTON AVE STE G, COLUMBUS, OH 43227(614) 632-1018 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 19, 2024, Aug 23, 2023, Jul 21, 2023 and 1 more (4 updates tracked since 2023).

About Homeland Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMELAND CLINIC (NPI 1356020515) is a healthcare organization registered as a mental health (including community mental health center) in Columbus, Ohio and active in the NPI registry since July 2023. The organization lists Kingsley Eyong Enow, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1356020515
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHOMELAND ADDICTION TREATMENT CENTER LLC
Location Address3505 E LIVINGSTON AVE STE GColumbus, OH 43227-2252
Mailing Address3505 E Livingston Ave Ste GColumbus, OH 43227-2252 · (614) 715-8216 · Fax (614) 715-8239
Organization SubpartNo
Authorized OfficialKingsley Eyong EnowSupervisor · (614) 715-8316
Enumeration DateJuly 14, 2023
Last NPPES UpdateApril 19, 20244 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1356020515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3505 E LIVINGSTON AVE STE G, Columbus, OH 43227

Other Names 1

Doing Business AsHomeland Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Homeland Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Homeland Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1477815892
3505 E LIVINGSTON AVE STE G
Columbus, OH 43227
(614) 632-1018
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Homeland Addiction Treatment Center LLC's NPI number?

The NPI number for Homeland Addiction Treatment Center LLC is 1356020515. It was assigned to this organization in the NPPES registry on July 14, 2023. The provider is doing business as Homeland Clinic.

Where is Homeland Addiction Treatment Center LLC located?

Homeland Addiction Treatment Center LLC is located at 3505 E Livingston Ave Ste G, Columbus, OH 43227. The listed phone number is (614) 632-1018.

What is Homeland Addiction Treatment Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Homeland Addiction Treatment Center LLC enrolled in Medicare?

Yes. Homeland Addiction Treatment Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Homeland Addiction Treatment Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Homeland Addiction Treatment Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Homeland Addiction Treatment Center LLC was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.