Organization 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
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
C9714610 Issued in CT
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004171237077214MedicaidCT
9366321OtherCTUNEMPLOYMENT PROVIDER NUM
004171237MedicaidCT

Other names 1

  • Backus Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.