NPIMap

Organization Active NPI

Omnia Home Care, LLC

  • Home Health Agency
  • Mesquite, NV
National Provider Identifier
1679179550
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMNIA HOME CARE, LLC
Practice address
350 Falcon Ridge Pkwy Ste 101
Mesquite, NV 89027-8879
Phone
(702) 849-0585
Fax
(702) 849-0614
NPI assigned
Dec 7, 2020
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Melissa Giustina Nielsen
Title
Part Owner
Phone
(435) 817-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

350 Falcon Ridge Pkwy Ste 101
Mesquite, NV 89027-8879

Mailing address

781 N 1110 West Cir
St George, UT 84770-4670
Phone (435) 817-0247

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@dixiecare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210913002031 NV Part A Provider - Home Health Agency 4587060892 Practice locations: Mesquite, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679179550. Details of each certification follow.

Home health agency certification: CCN 297319

Legal name
OMNIA HOME CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 25, 2022
Last certification
Apr 15, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 23, 2020 in NV
Enrollment address
350 Falcon Ridge Pkwy
Ste 101
Mesquite, NV 89027-8879
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omnia Home Care LLCCCN 297319 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Apr 25, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
29D2263609Omnia Home Care LLC350 Falcon Ridge Pkwy Ste 101, Mesquite, NV 89027Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

350 Falcon Ridge Pkwy
Ste 101
Mesquite, NV 89027
Phone (702) 849-0585

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
William S Hokanson Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2021 50%
Erin Johnson Individual W-2 Managing EmployeeClinical Manager Oct 23, 2023
Jennifer Williams Individual W-2 Managing EmployeeHuman Resources Jun 29, 2021 100%
Angie McLemore Individual W-2 Managing EmployeeAd; Mar 31, 2023
Melissa Murri Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1679179550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 N 1110 WEST CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704670",
            "telephone_number": "435-817-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FALCON RIDGE PKWY STE 101",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278879",
            "telephone_number": "702-849-0585",
            "fax_number": "702-849-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "GIUSTINA",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "435-817-0247"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@dixiecare.com",
            "affiliation": "N",
            "endpointDescription": "Home Health Agency",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email communication",
            "address_1": "350 Falcon Ridge Pkwy Ste 101",
            "city": "Mesquite",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890278879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.