Active NPI
Omicelo Health PA LLC
- Home Modifications Contractor
- Pittsburgh, PA
National Provider Identifier
1427768571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Legal business name
- OMICELO HEALTH PA LLC
- Practice address
- 1435 Bedford Ave
Pittsburgh, PA 15219-3675 - Phone
- (412) 212-6870
- Fax
- (412) 202-2029
- NPI assigned
- Nov 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joshua Pollard
- Title
- Ceo
- Phone
- (412) 212-6870
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1435 Bedford Ave
Pittsburgh, PA 15219-3675
Mailing address
1435 Bedford Avenue
Pittsburgh, PA 15219-3675
Phone (412) 212-6870
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1427768571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 BEDFORD AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152193675",
"telephone_number": "412-212-6870",
"fax_number": "412-202-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 BEDFORD AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152193675",
"telephone_number": "412-212-6870",
"fax_number": "412-202-2029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMICELO HEALTH PA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "POLLARD",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-212-6870",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.