Omar Ahmmed Awath

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

5441 Dupont Ave N
Brooklyn Center, MN 55430-3127

Phone

(612) 685-8048

NPI assigned

Jul 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• All American Home Care

  • Home Health Agency
  • Brooklyn Center, MN
  • NPI 1508120437
  NPD (past) Authorized official

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1265698229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 DUPONT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554303127",
            "telephone_number": "612-685-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 DUPONT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554303127",
            "telephone_number": "612-685-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWATH",
        "first_name": "OMAR",
        "middle_name": "AHMMED",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "253Z00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Suzanne Autio, NP
• Autism Solutions Academy LLC
• Awaken Home Care LLC
• Award Home Healthcare LLC
• Aware Healthcare Services LLC
• Katherine E. Axford, PHD
• Abdirizk Ayjeh
• Mohammad Ayyub
• Azure Collaborative Counseling & Consulting PLLC
• Bobbi Jo B. Krieg, LICSW

• All providers in Brooklyn Center, MN
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.