Organization Active NPI

Omk Healthcare Services LLC

  • Home Health Agency
  • Sugar Land, TX
National Provider Identifier
1558970954
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMK HEALTHCARE SERVICES LLC
Practice address
1035 Evandale LN
Sugar Land, TX 77479-5305
Phone
(832) 713-4848
NPI assigned
Jul 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Mae UkaegbuNPI 1427535244
Title
Registered Nurse
Phone
(832) 713-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1035 Evandale LN
Sugar Land, TX 77479-5305

Mailing address

1035 Evandale LN
Sugar Land, TX 77479-5305
Phone (832) 713-4848

Other names 1

  • OMK healthcare services Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210226000680 TX Part A Provider - Home Health Agency 7416362348 Practice locations: Sugar Land, TX

Home health agency certification: CCN 748081

Legal name
OMK HEALTHCARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 20, 2023
Last certification
Jan 5, 2023
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 27, 2017 in TX
Enrollment address
1035 Evandale LN
Sugar Land, TX 77479-5305
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
O.M.K Healthcare Services LLCCCN 748081 · All quality measures
Ownership
Proprietary
Certified
Jan 20, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
45D2182799Omk Healthcare Services LLC1035 Evandale LN, Sugar Land, TX 77479Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Mae Ukaegbu Individual 5% Or Greater Direct Ownership InterestOwner/Ceo/Administrator Apr 27, 2017 100%
5% Or Greater Security InterestOwner/Ceo/Administrator Apr 27, 2017 100%
Corporate DirectorOwner/Ceo/Administrator Apr 27, 2017 100%
W-2 Managing EmployeeOwner/Ceo/Administrator Apr 27, 2017 100%
Operational/Managerial ControlOwner/Ceo/Administrator Apr 27, 2017 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1558970954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 EVANDALE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795305",
            "telephone_number": "832-713-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 EVANDALE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795305",
            "telephone_number": "832-713-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMK HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "UKAEGBU",
        "authorized_official_first_name": "MAE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "832-713-4848"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMK healthcare services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.