Kooma Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KOOMA HOME HEALTH LLC

Practice address

107 E Main St Ste 202B
Bath, PA 18014-1519

Phone

(610) 365-2383

Fax

(610) 365-2383

NPI assigned

Oct 30, 2017

Last updated

Jan 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vedwattie D KoomaNPI 1265620736

Title

Owner

Phone

(210) 875-3394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vedwattie D Kooma

  • Licensed Practical Nurse
  • San Antonio, TX
  • NPI 1265620736
  NPD Authorized official

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1487166559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 202B",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180141519",
            "telephone_number": "610-365-2383",
            "fax_number": "610-365-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 202B",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180141519",
            "telephone_number": "610-365-2383",
            "fax_number": "610-365-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOMA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "KOOMA",
        "authorized_official_first_name": "VEDWATTIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-875-3394"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Htar Su Hlaing
• Mary Hughes, M.S. CCC-SLP, H.I.S
• Gregory Adam Janny
• Sooyun A Kim, PHARMD
• Klecknersville Rangers Volunteer Fire Company
• Jeremy T Kushner, MPT
• Lehigh Valley Physician Group (LVPG Family Medicine - Bath)
• Lehigh Valley Physician Group (LVPG Family and Internal Medicine-Bath)
• Ronald J Lewullis
• Sarah McKinnon, BCBA

• Home Health Agency in Bath, PA
• Providers in Bath, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.