Omega Care Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OMEGA CARE HOME HEALTH

Practice address

842 N Fair Oaks Ave Unit 150
Pasadena, CA 91103-3052

Phone

(888) 663-4280

Fax

(888) 597-9838

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Albert Villavicencio, RN

Title

Administrator

Phone

(888) 663-4280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757347

Legal name

OMEGA CARE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 23, 2023

Last certification

Jul 7, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 28, 2021 in CA

Enrollment address

842 N Fair Oaks Ave
Unit 150
Pasadena, CA 91103-3052

Listed as

Omega Care Home HealthCCN 757347

Overall star rating

2.5 of 5

Ownership

-

Certified

Jul 23, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 4

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

• Parvaneh Bahmani, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1609887678

  Home health agency

  Care Compare affiliation
• Devinder S. Kumar, MD

  • Pain Medicine (Anesthesiology) Physician
  • Santa Clarita, CA
  • NPI 1548251390

  Home health agency

  Care Compare affiliation
• Pooja Kumar, M.D.

  • Internal Medicine Physician
  • Hawthorne, CA
  • NPI 1225328610

  Home health agency

  Care Compare affiliation
• Kamran Matin, M.D.

  • Cardiovascular Disease Physician
  • Torrance, CA
  • NPI 1225074982

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1205409091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 N FAIR OAKS AVE UNIT 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033046",
            "telephone_number": "888-663-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 N FAIR OAKS AVE UNIT 150",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033052",
            "telephone_number": "888-663-4280",
            "fax_number": "888-597-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-11-01",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "VILLAVICENCIO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "888-663-4280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluyemisi S. Afuape, M.D., Inc
• Yainyt Olvera Guerrero, DC
• Mia Gabrielle Olvera-Rojas
• Linda Om, PHARMD
• Katherine Claire Omalley, AMFT
• Omega Home Health Agency Inc
• Hamid Ommatyar, OPTICIAN
• Omnipathology Solutions Medical Corporation
• Omnipathology Solutions Medical Corporation
• Katheryn Dabatos Omolon, RN

• Home Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.