Active NPI
Omar Awal
- Home Health Aide
- Washington, DC
National Provider Identifier
1821533050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 12565
- Practice address
- 4633 1/2 Minnesota Ave NE
NE
Washington, DC 20019-3822 - Phone
- (714) 429-6057
- NPI assigned
- Dec 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 12565 | DC | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
4633 1/2 Minnesota Ave NE
NE
Washington, DC 20019-3822
Mailing address
4059 Jay Street
NE
Washington, DC 20019-3822
Phone (714) 429-6057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12565 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1821533050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4059 JAY STREET",
"address_2": "NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193822",
"telephone_number": "714-429-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 1/2 MINNESOTA AVE NE",
"address_2": "NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193822",
"telephone_number": "714-429-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAL",
"first_name": "OMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-26",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "12565",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.