Imperium Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMPERIUM HEALTHCARE INC.

Practice address

6611 US Highway 19 Ste 207
New Port Richey, FL 34652-1732

Phone

(727) 807-6942

Fax

(727) 807-6943

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Olubode Olatunji

Title

Ceo/President

Phone

(813) 416-3562

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 683172

Legal name

IMPERIUM HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 4, 2015

Last certification

Oct 22, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 15, 2013 in FL

Enrollment address

6611 US Highway 19
Ste 207
New Port Richey, FL 34652-1740

Listed as

Imperium Healthcare Inc.CCN 683172

Ownership

Proprietary

Certified

Feb 4, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, 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

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.

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1770925158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 US HIGHWAY 19 STE 207",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521732",
            "telephone_number": "813-416-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 US HIGHWAY 19 STE 207",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521732",
            "telephone_number": "727-807-6942",
            "fax_number": "727-807-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIUM HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "OLATUNJI",
        "authorized_official_first_name": "OLUBODE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "813-416-3562",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012132700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.