Organization Active NPI

Omnibus Home Health Care, Inc.

  • Home Health Agency
  • Nederland, TX
National Provider Identifier
1144263278
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007389 Issued in TX
Legal business name
OMNIBUS HOME HEALTH CARE, INC.
Doing business as
Omnibus Home Health Care
Practice address
1455 S Highway 69
Nederland, TX 77627-7841
Phone
(409) 724-7000
Fax
(409) 724-7066
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Mrs. Kristina Dubois, RN
Title
President
Phone
(409) 724-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007389 TX Primary

Addresses

Primary practice location

1455 S Highway 69
Nederland, TX 77627-7841

Mailing address

1455 S Highway 69
Nederland, TX 77627-7841
Phone (409) 724-7000

Other identifiers 1

IdentifierTypeStateIssuer
024420401MedicaidTX

Other names 1

  • Omnibus Home Health Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristidubois@omnibushomehealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000056 TX Part A Provider - Home Health Agency 5496896961 Practice locations: Nederland, TX

Home health agency certification: CCN 459459

Legal name
OMNIBUS HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 19, 1999
Last certification
Nov 10, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 7, 2000 in TX
Enrollment address
1455 S Highway 69
Nederland, TX 77627-7841

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omnibus Home Health Care IncCCN 459459 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 19, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1007495Omnibus Home Health Care Inc1455 S Highway 69, Nederland, TX 77627Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

4173 39th St
Ste B
Port Arthur, TX 77642

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kristina Dubois Individual 5% Or Greater Direct Ownership InterestPresident May 15, 2019 10%
Operational/Managerial Control May 15, 2019 90%
Karen Vicknair Individual 5% Or Greater Direct Ownership Interest May 15, 2019 90%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1144263278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277841",
            "telephone_number": "409-724-7000",
            "fax_number": "409-724-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277841",
            "telephone_number": "409-724-7000",
            "fax_number": "409-724-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIBUS HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-724-7000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024420401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristidubois@omnibushomehealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1455 S Highway 69",
            "city": "Nederland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776277841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Omnibus Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omnibus Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.