Omega Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OMEGA HOME HEALTHCARE LLC

Practice address

4651 Nicols Rd
Ste 110
Eagan, MN 55122-3468

Phone

(866) 442-3001

NPI assigned

Mar 13, 2020

Organization subpart

No

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

Authorized official

Name

Aderonke Mordi

Title

Ceo/President

Phone

(888) 995-4742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Home health agency certification: CCN 248115

Legal name

OMEGA HOME HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 10, 2010

Last certification

Oct 4, 2017

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 31, 2019 in MN

Enrollment address

4651 Nicols Rd
Ste 110
Eagan, MN 55122-3468

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Omega Home Healthcare LLC

  • Home Health Agency
  • Red Wing, MN
  • NPI 1417509472

  6608104799

  Same PAC ID

Listed as

Omega Home Healthcare LLCCCN 248115

Ownership

Proprietary

Certified

Nov 10, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Omega Home Healthcare LLC2 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.

• Omega Home Healthcare LLC

  • Home Health Agency
  • Red Wing, MN
  • NPI 1417509472
  NPD tax ID

Locations

All disclosed owners & managing parties 2

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

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Utmost Care Health Services LLC

  • Home Health Agency
  • Bloomington, MN
  • NPI 1366626905

  Acquired from, 2020-05-10

  CMS change of ownership

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1710513437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FAIRWAY PL NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015039",
            "telephone_number": "888-995-4742",
            "fax_number": "507-252-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 NICOLS RD",
            "address_2": "STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223468",
            "telephone_number": "866-442-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 Corp Ctr Curve",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "55121",
            "country_code": "US",
            "telephone_number": "866-442-3001",
            "fax_number": "651-528-7603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Grand St NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554183318",
            "country_code": "US",
            "telephone_number": "866-442-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMEGA HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "MORDI",
        "authorized_official_first_name": "ADERONKE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "888-995-4742"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sucaado Omar
• Suldan Omar
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• Shirene R Orandi, D.D.S.

• Home Health Agency in Eagan, MN
• Providers in Eagan, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.

Verify at the official NPI Registry.