Organization Active NPI

Omega Home Health Care Services, Inc.

  • Home Health Agency
  • Lomita, CA
National Provider Identifier
1346567708
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMEGA HOME HEALTH CARE SERVICES, INC.
Practice address
2049 Pacific Coast Hwy
Suite 103
Lomita, CA 90717-2632
Phone
(310) 530-1100
Fax
(310) 530-1101
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mrs. Jensine Finn
Title
Owner, Ceo, Cfo, Secretary
Phone
(310) 530-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2049 Pacific Coast Hwy
Suite 103
Lomita, CA 90717-2632

Mailing address

2049 Pacific Coast Hwy
Suite 103
Lomita, CA 90717-2632
Phone (310) 530-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100511000005 CA Part A Provider - Home Health Agency 9436287570 Practice locations: Lomita, CA

Home health agency certification: CCN 059647

Legal name
OMEGA HOME HEALTH CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 29, 2015
Last certification
Nov 6, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 4, 2010 in CA
Enrollment address
2049 Pacific Coast Hwy
Ste 103
Lomita, CA 90717-2658

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omega Home Health Care Services, IncCCN 059647
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jan 29, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2016231Omega Home Health Care Services, Inc2049 Pacific Coast Highway, Ste 103, Lomita, CA 90717Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Locations

2049 Pacific Coast Hwy
Ste 103
Lomita, CA 90717
Phone (310) 530-1100

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Martine Dangervil Individual W-2 Managing EmployeeDopcs and Administrator Jan 8, 2019
Jensine Finn Individual 5% Or Greater Direct Ownership InterestOwner Jan 8, 2019 100%
Corporate OfficerCeo/Cfo/Secretary Jan 8, 2019 100%
Corporate DirectorSole Board Member Jan 8, 2019 100%

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": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1346567708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 PACIFIC COAST HWY",
            "address_2": "SUITE 103",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172632",
            "telephone_number": "310-530-1100",
            "fax_number": "310-530-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 PACIFIC COAST HWY",
            "address_2": "SUITE 103",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172632",
            "telephone_number": "310-530-1100",
            "fax_number": "310-530-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "JENSINE",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "310-530-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

Verify at the official NPI Registry.