Omni Home Care Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992391 Issued in FL

Legal business name

OMNI HOME CARE AGENCY INC

Practice address

13205 SW 137TH Ave
Suite 208
Miami, FL 33186-5331

Phone

(305) 255-4001

Fax

(305) 255-4006

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Luis L. Ferrer

Title

President

Phone

(305) 255-4001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109497

Legal name

OMNI HOME CARE AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 4, 2010

Last certification

Mar 9, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

6801 NW 77TH Ave
Ste 104
Miami, FL 33166-2847

Listed as

Omni Home Care Agency IncCCN 109497

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Apr 4, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

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.

Affiliated clinicians 5

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

• Romulo Clavelo, M.D.P.A.

  • General Practice Physician
  • Miami, FL
  • NPI 1063484913

  Home health agency

  Care Compare affiliation
• Dianelys Diaz, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1538824487

  Home health agency

  Care Compare affiliation
• Anselmo M Mendive, MD

  • Family Medicine Physician
  • Miami Gardens, FL
  • NPI 1427229384

  Home health agency

  Care Compare affiliation
• Victor I Tamayo, MD

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1033171517

  Home health agency

  Care Compare affiliation
• Ana Ivis Yartu Garcia

  • Nurse Practitioner
  • Hialeah, FL
  • NPI 1952900656

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1740317049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865331",
            "telephone_number": "305-255-4001",
            "fax_number": "305-255-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13205 SW 137TH AVE",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865331",
            "telephone_number": "305-255-4001",
            "fax_number": "305-255-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-255-4001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omega Physical Therapy LLC
• Omega Therapy Center, Inc.
• Omg Pharmacy Discount Inc
• Omi Management Miami LLC
• Omi of Kendall Inc
• Omni Recovery Center
• Omni Solutions Corp
• Omnia Health & Wellness Corp
• Omnicare Inc
• Omnifit Sports & Fitness LLC

• All providers in Miami, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.