Organization Active NPI

Omega Private Home Care Service

  • Home Health Agency
  • North Charleston, SC
National Provider Identifier
1295989267
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2008-02391NC Issued in SC
Legal business name
OMEGA PRIVATE HOME CARE SERVICE
Practice address
4712 Durant Ave.
North Charleston, SC 29405
Phone
(843) 628-9117
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Mrs. Cheryl Linn Mills
Title
President
Phone
(843) 628-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2008-02391NC SC Primary

Addresses

Primary practice location

4712 Durant Ave.
North Charleston, SC 29405

Mailing address

4712 Durant Ave.
North Charleston, SC 29405
Phone (843) 628-9117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1295989267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 DURANT AVE.",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-628-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 DURANT AVE.",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-628-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PRIVATE HOME CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-628-9117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "2008-02391NC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.