HOLYHILLS HEALTHCARE SERVICES LLC
NPI 1407395692
Nurse Practitioner - Adult Health in Reynoldsburg, OH
About Holyhills Healthcare Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLYHILLS HEALTHCARE SERVICES LLC (NPI 1407395692) is a healthcare organization registered as an adult health in Reynoldsburg, Ohio and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Nana Akua Dwomo, C.e.o, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holyhills Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Holyhills Healthcare Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 36D2136137
Holyhills Healthcare Services, LLC · Reynoldsburg, OHFrequently 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 Holyhills Healthcare Services LLC's NPI number?
The NPI number for Holyhills Healthcare Services LLC is 1407395692. It was assigned to this organization in the NPPES registry on February 21, 2017.
Where is Holyhills Healthcare Services LLC located?
Holyhills Healthcare Services LLC is located at 6760 Tussing Rd #104, Reynoldsburg, OH 43068. The listed phone number is (614) 441-2231.
What is Holyhills Healthcare Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Holyhills Healthcare Services LLC enrolled in Medicare?
Yes. Holyhills Healthcare Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holyhills Healthcare Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Holyhills Healthcare Services 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. The largest specialties are Nurse Practitioner (6) and Family Practice (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Holyhills Healthcare Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2136137) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Holyhills Healthcare Services LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Holyhills Healthcare Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holyhills Healthcare Services LLC was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Holyhills Healthcare Services Llc · NPI 1407395692
Adult Health organization in Reynoldsburg, Ohio. Organization record, active in the CMS NPPES registry since February 21, 2017.
## Identity
- **NPI:** 1407395692 (Entity type: Organization)
- **Enumerated:** February 21, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Nana Akua Dwomo, C.E.O
## Practice location
- **Address:** 6760 TUSSING RD, #104, Reynoldsburg, OH 43068-4129
- **Phone:** (614) 441-2231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407395692) · Data from the CMS NPPES public registry.