NPIMap

Organization Active NPI

Home Health Agency-Central Pennsylvania, LLC

Doing business as OMNI Home Care

  • Home Health Agency
  • York, PA
National Provider Identifier
1003120023
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2720501 Issued in PA
Legal business name
HOME HEALTH AGENCY-CENTRAL PENNSYLVANIA, LLC
Doing business as
OMNI Home Care
Practice address
873 Clare LN
York, PA 17402-4317
Phone
(717) 650-2778
Fax
(717) 650-2787
NPI assigned
Aug 2, 2010
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Mr. Jorge Rico
Title
Manager
Phone
(305) 476-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2720501 PA Primary

Addresses

Primary practice location

873 Clare LN
York, PA 17402-4317

Mailing address

510 Hospital Dr
Suite 100
Madison, TN 37115-5033
Phone (615) 712-2250

Other names 1

  • OMNI Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060314000225 PA Part A Provider - Home Health Agency 8325053036 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tyrone, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003120023. Details of each certification follow.

Home health agency certification: CCN 397796

Legal name
HOME HEALTH AGENCY -CENTRAL PENNSYLVANIA, LLC
Doing business as
OMNI HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 12, 2003
Last certification
Sep 22, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 29, 2013 in PA
Enrollment address
221 Hospital Drive
Ste 2
Tyrone, PA 16686-1808

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omni Home CareCCN 397796 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 12, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4807 Jonestown Rd
Ste 246
Harrisburg, PA 17109
Phone (717) 671-5040

1002 Logan Ave
Tyrone, PA 16686
Phone (814) 684-7366

3415 Concord Rd
#R
York, PA 17402
Phone (717) 650-2778

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Omni Home Health Holdings, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 27, 2019 100%
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Omni Home Health Services LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 27, 2019 100%
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerCeo Feb 22, 2023
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
Lori Kratzer Individual W-2 Managing EmployeeAd; Sep 15, 2025
Amy Cormier Individual Corporate DirectorDirector, Managed Care Network May 1, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1003120023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-712-2250",
            "fax_number": "615-577-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 CLARE LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024317",
            "telephone_number": "717-650-2778",
            "fax_number": "717-650-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY-CENTRAL PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-476-5160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "2720501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.