NPIMap

Organization Active NPI

Omnicare Home Health Inc.

  • Home Health Agency
  • Torrance, CA
National Provider Identifier
1760724231
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMNICARE HOME HEALTH INC.
Practice address
2430 Amsler St Ste a
Torrance, CA 90505-5302
Phone
(310) 228-3141
Fax
(310) 228-3144
NPI assigned
Mar 22, 2013
Last updated
Sep 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Authorized official

Name
Mr. Nandini Mahtani
Title
President
Phone
(310) 228-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2430 Amsler St Ste a
Torrance, CA 90505-5302

Mailing address

2430 Amsler St Ste a
Torrance, CA 90505-5302
Phone (310) 228-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131023000252 CA Part A Provider - Home Health Agency 5092940338 Practice locations: Torrance, CA
O20210116000092 CA Part B Supplier - Home Infusion Therapy Supplier 5092940338 Practice locations: Torrance, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760724231. Details of each certification follow.

Home health agency certification: CCN 059688

Legal name
OMNICARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 7, 2015
Last certification
Aug 30, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 14, 2013 in CA
Enrollment address
2430 Amsler St
Ste a
Torrance, CA 90505-5302

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omnicare Home Health, IncCCN 059688 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 7, 2015
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
05D2081521Omnicare Home Health Inc2430 Amsler St Ste a, Torrance, CA 90505Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

14000 Van Ness Ave
Ste D
Gardena, CA 90249
Phone (310) 228-3141

2430 Amsler St
Ste A
Torrance, CA 90505
Phone (310) 228-3141

Ownership & related parties

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.

NameRoleSinceShare
Henry Utama Individual W-2 Managing EmployeeAdministrator/Dopcs Jun 17, 2019
Nandini a Mahtani Individual 5% Or Greater Direct Ownership InterestOwner Mar 15, 2017 100%
Corporate OfficerPresident/Ceo Mar 15, 2017 100%
Corporate DirectorPresident/Ceo Mar 15, 2017 100%
W-2 Managing EmployeeGeneral Manager Mar 15, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632614400000",
    "number": "1760724231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 AMSLER ST STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055302",
            "telephone_number": "310-228-3141",
            "fax_number": "310-228-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 AMSLER ST STE A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055302",
            "telephone_number": "310-228-3141",
            "fax_number": "310-228-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A",
        "authorized_official_last_name": "MAHTANI",
        "authorized_official_first_name": "NANDINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-228-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.