Patient Care Pennsylvania, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PATIENT CARE PENNSYLVANIA, INC

Doing business as

OMNI Personal Care Services

Practice address

2 Meridian Blvd Ste 204
Wyomissing, PA 19610-3202

Phone

(610) 371-8008

Fax

(610) 898-3567

NPI assigned

Apr 11, 2016

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua L. Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OMNI Personal Care Services Doing business as

Tax ID family

Omni Personal Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Patient Care Pennsylvania, Inc

  dba OMNI Personal Care Services

  • Home Health Agency
  • Wyomissing, PA
  • NPI 1730185208
  NPD tax ID

Locations

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1033573548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MERIDIAN BLVD STE 204",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103202",
            "telephone_number": "610-371-8008",
            "fax_number": "610-898-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE PENNSYLVANIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008844550003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMNI Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Mahdi Paryavi, MD
• Ishita Patel, PA.C
• Minal Patel, PA
• Rayna Amit Patel, DO
• Tapan Patel, MD, PHD
• Patient Care Pennsylvania, Inc (OMNI Personal Care Services)
• Patient Care Pennsylvania, Inc. (Patient Care)
• Patient First Pennsylvania Medical Group (Patient First Wyomissing)
• Patient First Pennsylvania Medical Group PLLC (Patient First - Wyomissing)
• Anish Paudel, MD

• Home Health Agency in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.