Ohana Pediatric Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OHANA PEDIATRIC HOME HEALTH, LLC

Practice address

26421 Interstate 10 W
Boerne, TX 78006-6500

Phone

(210) 451-8555

Fax

(210) 451-8554

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Dwight Peterson

Title

Ceo

Phone

(210) 451-8555

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1740681683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26421 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066500",
            "telephone_number": "210-451-8555",
            "fax_number": "210-451-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26421 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066500",
            "telephone_number": "210-451-8555",
            "fax_number": "210-451-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA PEDIATRIC HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-451-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010903123",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul Nowicki, MD
• Nutrition Sense
• Michael Shawn Nye, PA
• Mari Suzanne O'Brien, RN
• Allison Ogle, DO
• Karen Beth Ohnheiser-Reischling, M.ED; LPC
• Savannah Oliva, RBT
• Amanda V Olivas, OTD,OTR/L
• Olive Branch Counseling and Training, PLLC
• Olive Branch Hope Center, Inc

• Home Health Agency in Boerne, TX
• Providers in Boerne, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.