Omega Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OMEGA HOME HEALTH AGENCY INC

Practice address

490 S Rosemead Blvd Ste 4
Pasadena, CA 91107-4958

Phone

(626) 486-2366

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Tehmina Avagyan

Title

Ceo

Phone

(626) 486-2366

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559222

Legal name

OMEGA HOME HEALTH AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 12, 2020

Last certification

Mar 12, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

273 W Alameda Ave
Burbank, CA 91502-2559

Listed as

Omega Home Health Agency, IncCCN 559222 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Mar 12, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1912477480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S ROSEMEAD BLVD STE 4",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S ROSEMEAD BLVD STE 4",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074958",
            "telephone_number": "626-486-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "TEHMINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-486-2366"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yainyt Olvera Guerrero, DC
• Mia Gabrielle Olvera-Rojas
• Linda Om, PHARMD
• Katherine Claire Omalley, AMFT
• Omega Care Home Health
• Hamid Ommatyar, OPTICIAN
• Omnipathology Solutions Medical Corporation
• Omnipathology Solutions Medical Corporation
• Katheryn Dabatos Omolon, RN
• Shoichi Omoto

• Home Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.