Active NPI
Omni Home Health Services of Eastern Connecticut, LLC
Doing business as Backus Home Health Care
- Home Health Agency
- Norwich, CT
National Provider Identifier
1811908213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- C9714610
- Legal business name
- OMNI HOME HEALTH SERVICES OF EASTERN CONNECTICUT, LLC
- Doing business as
- Backus Home Health Care
- Practice address
- 12 Case Street
Suite 317
Norwich, CT 06360-2222 - Phone
- (860) 889-7198
- Fax
- (860) 892-6694
- NPI assigned
- Aug 10, 2006
- Last updated
- Feb 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel E. Lohr
- Title
- Treasurer
- Phone
- (860) 889-8331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | C9714610 | CT | Primary |
Addresses
Primary practice location
12 Case Street
Suite 317
Norwich, CT 06360-2222
Mailing address
12 Case Street
Suite 317
Norwich, CT 06360-2222
Phone (860) 889-7198
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004171237077214 | Medicaid | CT | |
| 9366321 | Other | CT | UNEMPLOYMENT PROVIDER NUM |
| 004171237 | Medicaid | CT |
Other names 1
- Backus Home Health Care
National Provider Directory
National Provider DirectoryLocations
31 Clinton Ave
Norwich, CT 06360
Phone (860) 889-7198
4O Connecticut Ave
Norwich, CT 06360
Phone (860) 889-7198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329955200000",
"number": "1811908213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CASE STREET",
"address_2": "SUITE 317",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-889-7198",
"fax_number": "860-892-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CASE STREET",
"address_2": "SUITE 317",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602222",
"telephone_number": "860-889-7198",
"fax_number": "860-892-6694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI HOME HEALTH SERVICES OF EASTERN CONNECTICUT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2012-02-23",
"status": "A",
"authorized_official_last_name": "LOHR",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "860-889-8331",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CT",
"license": "C9714610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004171237077214",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNEMPLOYMENT PROVIDER NUM",
"identifier": "9366321",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004171237",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Backus Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.