Active NPI
Carepine Home Health
- Home Health Agency
- Horsham, PA
National Provider Identifier
1700221983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CAREPINE HOME HEALTH
- Practice address
- 300 Welsh Rd BLDG 1-100
Horsham, PA 19044-2288 - Phone
- (215) 874-8535
- Fax
- (888) 995-6650
- NPI assigned
- May 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eliud Omolllo
- Title
- Ceo
- Phone
- (215) 874-8535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
300 Welsh Rd BLDG 1-100
Horsham, PA 19044-2288
Mailing address
300 Welsh Rd BLDG 1-100
Horsham, PA 19044-2288
Phone (215) 874-8535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130701000706 | PA | Part A Provider - Home Health Agency | 1153561816 | Practice locations: Wayne, PA |
Home health agency certification: CCN 398216
- Legal name
- CAREPINE HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 18, 2014
- Last certification
- Jun 17, 2016
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 1, 2013 in PA
- Enrollment address
- 983 Old Eagle School Rd 618
Wayne, PA 19087-1711
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Carepine Home Health, LLC
- Ownership
- Proprietary
- Certified
- Feb 18, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Carepine Home Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Allentown, PA
- NPI 1275911448
Locations
300 Welsh Rd
Bldg 1-100
Horsham, PA 19044
Phone (215) 874-8535
983 Old Eagle School Rd
Ste 618
Wayne, PA 19087
Phone (215) 874-8535
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eliud Omollo | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| Operational/Managerial Control | Jan 1, 2013 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658275200000",
"number": "1700221983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WELSH RD BLDG 1-100",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442288",
"telephone_number": "215-874-8535",
"fax_number": "888-995-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WELSH RD BLDG 1-100",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442288",
"telephone_number": "215-874-8535",
"fax_number": "888-995-6650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREPINE HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A",
"authorized_official_last_name": "OMOLLLO",
"authorized_official_first_name": "ELIUD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-874-8535"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Horsham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.