Organization Active NPI

Omega Home Care Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Randallstown, MD
National Provider Identifier
1114407749
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
OMEGA HOME CARE INC
Practice address
20 Aventura CT
Randallstown, MD 21133-4331
Phone
(410) 982-4976
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Justine V Chase
Title
Ceo
Phone
(410) 982-4976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

20 Aventura CT
Randallstown, MD 21133-4331

Mailing address

20 Aventura CT
Randallstown, MD 21133-4331
Phone (410) 982-4976

Other identifiers 1

IdentifierTypeStateIssuer
OTHEROtherOTHER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1114407749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AVENTURA CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334331",
            "telephone_number": "410-982-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AVENTURA CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334331",
            "telephone_number": "410-982-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-982-4976"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "OTHER",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.