Omnicare Home Healthcare Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OMNICARE HOME HEALTHCARE AGENCY, LLC

Doing business as

Omnicare Home Health Agency

Practice address

23611 Chagrin Blvd Ste 120
Beachwood, OH 44122-5540

Phone

(216) 292-6352

Fax

(330) 748-4660

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christian N Ochei

Title

President Ceo

Phone

(330) 459-0398

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OMNICARE HOME HEALTH AGENCY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368049

Legal name

OMNICARE HOME HEALTHCARE AGENCY, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 25, 2004

Last certification

Jan 30, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 9, 2004 in OH

Enrollment address

23611 Chagrin Blvd
Ste 120
Beachwood, OH 44122-5540
HHA Branch

Listed as

Omnicare Home Healthcare Agency, LLCCCN 368049 · All quality measures

Ownership

Proprietary

Certified

Mar 25, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1508881913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 MORNING GLORY DR",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440564305",
            "telephone_number": "330-459-0398",
            "fax_number": "330-748-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23611 CHAGRIN BLVD STE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225540",
            "telephone_number": "216-292-6352",
            "fax_number": "330-748-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE HOME HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "OCHEI",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "330-459-0398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODA PROVIDER NUMBER",
            "identifier": "40323953",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462839",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNICARE HOME HEALTH AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.