Organization Active NPI

Intercapital Inc.

Doing business as Omnihealth Home Health

  • Home Health Agency
  • Tamuning, GU
National Provider Identifier
1649759283
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13-201800921-001 Issued in GU
Legal business name
INTERCAPITAL INC.
Doing business as
Omnihealth Home Health
Practice address
761 S Marine Corps Dr Ste A10
Tamuning, GU 96913-3523
Phone
(671) 653-1408
Fax
(671) 989-9140
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Paul Pineda
Title
Owner
Phone
(671) 653-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13-201800921-001 GU Primary

Addresses

Primary practice location

761 S Marine Corps Dr Ste A10
Tamuning, GU 96913-3523

Mailing address

761 S Marine Corps Dr Ste A10
Tamuning, GU 96913-3523
Phone (671) 653-1408

Other names 1

  • Omnihealth Home Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1649759283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 S MARINE CORPS DR STE A10",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133523",
            "telephone_number": "671-653-1408",
            "fax_number": "671-989-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 S MARINE CORPS DR STE A10",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133523",
            "telephone_number": "671-653-1408",
            "fax_number": "671-989-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCAPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "671-653-1408"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GU",
            "license": "13-201800921-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnihealth Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.