Organization Active NPI

Omega Home Health LLC

  • Home Health Agency
  • Denver, CO
National Provider Identifier
1689389710
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMEGA HOME HEALTH LLC
Practice address
2186 S Holly St Ste 105
Denver, CO 80222-5619
Phone
(720) 677-9091
Fax
(720) 677-9093
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Beatrice AndohNPI 1174119531
Title
Owner
Phone
(720) 677-9091

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

2186 S Holly St Ste 105
Denver, CO 80222-5619

Mailing address

2186 S Holly St Ste 105
Denver, CO 80222-5619
Phone (720) 677-9091

Other identifiers 1

IdentifierTypeStateIssuer
9000212878MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Omega Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2186 S Holly St
Ste 105
Denver, CO 80222
Phone (720) 677-9091

2186 S Holly St
Ste 205
Denver, CO 80222

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1689389710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 S HOLLY ST STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225619",
            "telephone_number": "720-677-9091",
            "fax_number": "720-677-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 S HOLLY ST STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225619",
            "telephone_number": "720-677-9091",
            "fax_number": "720-677-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "ANDOH",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-677-9091"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000212878",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.