Active NPI
Lelainia Ann O'Mara, RN
- Home Health Registered Nurse
- Kingwood, WV
National Provider Identifier
1265216741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 317966-3102
- Practice address
- 419 Morgantown St
Kingwood, WV 26537-1095 - Phone
- (304) 329-3565
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 317966-3102 | UT | Primary |
Addresses
Primary practice location
419 Morgantown St
Kingwood, WV 26537-1095
Mailing address
1357 Overhill Rd
Fairmont, WV 26554-2414
Phone (304) 365-4477
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317966-3102 | UT | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preston Memorial Homecare, LLC | Current | Accepting new patients |
Locations
419 Morgantown St
Kingwood, WV 26537
Phone (304) 329-3565
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.
-
- Home Health Agency
- Kingwood, WV
- NPI 1659600310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1265216741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 OVERHILL RD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542414",
"telephone_number": "304-365-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 MORGANTOWN ST",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265371095",
"telephone_number": "304-329-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MARA",
"first_name": "LELAINIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "UT",
"license": "317966-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.