Organization Active NPI

Home Health Agency- Central Pennsylvania, LLC

Doing business as Omni Home Care

  • Home Health Agency
  • Harrisburg, PA
National Provider Identifier
1578504072
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2720501 Issued in PA
Legal business name
HOME HEALTH AGENCY- CENTRAL PENNSYLVANIA, LLC
Doing business as
Omni Home Care
Practice address
4813 Jonestown Rd
Suite 103
Harrisburg, PA 17109-1700
Phone
(717) 671-5070
Fax
(717) 671-5075
NPI assigned
Jun 8, 2006
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Mr. Jorge Rico
Title
Manager
Phone
(305) 476-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2720501 PA Primary

Addresses

Primary practice location

4813 Jonestown Rd
Suite 103
Harrisburg, PA 17109-1700

Mailing address

510 Hospital Dr
Suite 100
Madison, TN 37115-5033
Phone (615) 712-2250

Other names 1

  • Omni Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

4813 Jonestown Rd
Ste 103
Harrisburg, PA 17109
Phone (717) 671-5070

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1578504072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-712-2250",
            "fax_number": "615-577-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 JONESTOWN RD",
            "address_2": "SUITE 103",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091700",
            "telephone_number": "717-671-5070",
            "fax_number": "717-671-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY- CENTRAL PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-476-5160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "2720501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.