Organization Active NPI

Omicelo LLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsburgh, PA
National Provider Identifier
1881454213
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OMICELO LLC
Practice address
1435 Bedford Avenue
Pittsburgh, PA 15219-3675
Phone
(412) 598-4952
Fax
(412) 598-4952
NPI assigned
Mar 21, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Adrienne L Walnoha, MSW, LSW NAHB CAPS
Title
Director, Community Health Initiati
Phone
(412) 598-4952

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WH0202X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1435 Bedford Avenue
Pittsburgh, PA 15219-3675

Mailing address

1435 Bedford Avenue
Pittsburgh, PA 15219-3675
Phone (412) 598-4952

Other identifiers 1

IdentifierTypeStateIssuer
103729110MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1881454213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 BEDFORD AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152193675",
            "telephone_number": "412-598-4952",
            "fax_number": "412-598-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 BEDFORD AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152193675",
            "telephone_number": "412-598-4952",
            "fax_number": "412-598-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMICELO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "WALNOHA",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, COMMUNITY HEALTH INITIATI",
        "authorized_official_telephone_number": "412-598-4952",
        "authorized_official_credential": "MSW, LSW NAHB CAPS"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103729110",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.