Organization Active NPI

Huduma Inc

  • Home Health Agency
  • Worcester, MA
National Provider Identifier
1699164558
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
452784552 Issued in MA
Legal business name
HUDUMA INC
Practice address
390 Main St Ste 1041
Worcester, MA 01608-2583
Phone
(508) 826-5387
Fax
(508) 754-8272
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Mr. Edwin Gichuhi Githiaca
Title
President
Phone
(508) 826-5387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 452784552 MA Primary

Addresses

Primary practice location

390 Main St Ste 1041
Worcester, MA 01608-2583

Mailing address

390 Main St Ste 1041
Worcester, MA 01608-2583
Phone (508) 826-5387

Other names 1

  • omni home care agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520001535 MA Part A Provider - Home Health Agency 3577883255 Practice locations: Worcester, MA

Home health agency certification: CCN 227697

Legal name
HUDUMA INC
Doing business as
OMNI HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 21, 2016
Last certification
Mar 21, 2016
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 14, 2015 in MA
Enrollment address
390 Main St
Ste 734
Worcester, MA 01608-2583
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omni Home Health AgencyCCN 227697
Ownership
Proprietary
Certified
Mar 21, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
22D2109360Huduma Inc390 Main St Ste 734, Worcester, MA 01608Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

390 Main St
Ste 1041
Worcester, MA 01608
Phone (508) 826-5387

390 Main St
Ste 734
Worcester, MA 01608
Phone (508) 826-5387

390 Main St
#1041
Worcester, MA 01608
Phone (508) 826-5387

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
Edwin G Githiaca Individual 5% Or Greater Direct Ownership Interest Jan 14, 2015 100%
Corporate OfficerCeo Jan 15, 2015 100%
Corporate DirectorCeo Jan 14, 2015 100%
W-2 Managing EmployeeCeo Jan 15, 2015 100%

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1699164558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAIN ST STE 1041",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082583",
            "telephone_number": "508-826-5387",
            "fax_number": "508-754-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAIN ST STE 1041",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082583",
            "telephone_number": "508-826-5387",
            "fax_number": "508-754-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDUMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "GITHIACA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "GICHUHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-826-5387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "452784552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "omni home care agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.