NPIMap

Organization Active NPI

Carepine Home Health

  • Home Health Agency
  • Allentown, PA
National Provider Identifier
1275911448
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREPINE HOME HEALTH
Practice address
1125 S Cedar Crest Blvd
Suite 204
Allentown, PA 18103-7903
Phone
(484) 550-7636
Fax
(800) 734-6065
NPI assigned
May 8, 2015
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Eliud Omollo, MS
Title
Ceo
Phone
(484) 550-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PA Primary

Addresses

Primary practice location

1125 S Cedar Crest Blvd
Suite 204
Allentown, PA 18103-7903

Mailing address

1125 S Cedar Crest Blvd
Suite 204
Allentown, PA 18103-7903
Phone (484) 550-7636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902001359 PA Part A Provider - Home Health Agency 1153561816 Practice locations: Allentown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275911448. Details of each certification follow.

Home health agency certification: CCN 398255

Legal name
CAREPINE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 8, 2016
Last certification
Jul 25, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 1, 2013 in PA
Enrollment address
1125 S Cedar Crest Blvd
Ste 204
Allentown, PA 18103-7903
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carepine Home Health, LLCCCN 398255 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jun 8, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Carepine Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1125 S Cedar Crest Blvd
Ste 204
Allentown, PA 18103
Phone (484) 550-7636

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Eliud Omollo Individual 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Operational/Managerial ControlCeo Jan 1, 2013

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1275911448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S CEDAR CREST BLVD",
            "address_2": "SUITE 204",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037903",
            "telephone_number": "484-550-7636",
            "fax_number": "800-734-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S CEDAR CREST BLVD",
            "address_2": "SUITE 204",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037903",
            "telephone_number": "484-550-7636",
            "fax_number": "800-734-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPINE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "OMOLLO",
        "authorized_official_first_name": "ELIUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-550-7636",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.