Individual provider Active NPI

Donald O Owuor

  • Home Health Agency
  • Tewksbury, MA
National Provider Identifier
1104540418
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1501 Main St Ste 25
Tewksbury, MA 01876-4700
Phone
(978) 455-3288
Fax
(978) 455-3297
NPI assigned
Sep 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1501 Main St Ste 25
Tewksbury, MA 01876-4700

Mailing address

1501 Main St Ste 25
Tewksbury, MA 01876-4700
Phone (978) 455-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amika Health Care LLC Home Health Current Accepting new patients

Locations

1501 Main St
Ste 25
Tewksbury, MA 01876
Phone (508) 574-6302

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1104540418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST STE 25",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764700",
            "telephone_number": "978-455-3288",
            "fax_number": "978-455-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MAIN ST STE 25",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764700",
            "telephone_number": "978-455-3288",
            "fax_number": "978-455-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUOR",
        "first_name": "DONALD",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.