NPIMap

Organization Active NPI

Omnia Healthcare LLC

  • Home Health Agency
  • Clovis, CA
National Provider Identifier
1154748465
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMNIA HEALTHCARE LLC
Practice address
105 Bullard Ave
Clovis, CA 93612-0902
Phone
(559) 761-9656
NPI assigned
Mar 25, 2014
Organization subpart
No

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 38

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

View all 38

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omnia Healthcare, LLCCCN 059683
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 31, 2015
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
05D2083508Omnia Healthcare, LLC105 Bullard Ave, Clovis, CA 93612Certificate of waiverSep 7, 2026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140425000842 CA Part A Provider - Home Health Agency 9739312869 Practice locations: Clovis, CA

Home health agency certification: CCN 059683

Legal name
OMNIA HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 31, 2015
Last certification
Sep 14, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 11, 2014 in CA
Enrollment address
105 Bullard Ave
Clovis, CA 93612-0902

All disclosed owners & managing parties 3

Medicare enrollment files

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

NameRoleSinceShare
Estrella Sarabosing Individual 5% Or Greater Direct Ownership Interest Jul 14, 2017 33.34%
Corporate DirectorPresident Feb 11, 2014 33.34%
W-2 Managing EmployeePresident Feb 11, 2014 100%
Gina Sian Individual 5% Or Greater Direct Ownership Interest Jul 14, 2017 33.33%
Corporate DirectorVice President Feb 11, 2014 33.33%
Catherine Yrastorza Individual 5% Or Greater Direct Ownership Interest Jul 14, 2017 33.33%
Corporate DirectorTreasurer Feb 11, 2014 33.33%

National Provider Directory

National Provider Directory

Locations

105 Bullard Ave
Clovis, CA 93612
Phone (559) 761-9656

755 N Peach Ave
Ste G3
Clovis, CA 93611
Phone (559) 772-4673

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Estrella SarabosingNPI 1073770111
Title
President
Phone
(559) 761-9656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

105 Bullard Ave
Clovis, CA 93612-0902

Mailing address

105 Bullard Ave
Clovis, CA 93612-0902
Phone (559) 772-4673

Other identifiers 1

IdentifierTypeStateIssuer
550003082OtherCASTATE LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2024.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1154748465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BULLARD AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120902",
            "telephone_number": "559-772-4673",
            "fax_number": "559-862-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BULLARD AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120902",
            "telephone_number": "559-761-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SARABOSING",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-761-9656"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "550003082",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.