Oma Docetta Conley

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

7631 Jackson St
Merrillville, IN 46410-5795

Phone

(219) 487-9481

Fax

(219) 203-4077

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 2ND Chance Homecare Services, LLC

  • Home Health Agency
  • Merrillville, IN
  • NPI 1629857628
  NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1447039433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 JACKSON ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105795",
            "telephone_number": "219-487-9481",
            "fax_number": "219-203-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 JACKSON ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105795",
            "telephone_number": "219-487-9481",
            "fax_number": "219-203-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "OMA DOCETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassionate Care Connections Home Services LLC
• Complete Quality Logistics
• Comprehensive Surgical Specialists LLC
• Angela R Comsa, LCSW
• Concerto Indiana LLC
• Shirley Conroy, RPT
• Nicholas James Constantine, PSY.D.
• William Louis Conte, M.D.
• Continue Living Senior LLC (Continue Living at Home Personal Care Agency)
• Oren Michael Conway, MD

• Home Health Aide in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Home Health Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.