NPIMap

Organization Active NPI

Home Health Agency - Pennsylvania, LLC

  • Home Health Agency
  • Canonsburg, PA
National Provider Identifier
1922092774
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
77670501 Issued in PA
Legal business name
HOME HEALTH AGENCY - PENNSYLVANIA, LLC
Practice address
4000 Town Center Blvd Ste 260
Canonsburg, PA 15317-5841
Phone
(412) 276-5030
Fax
(412) 276-5937
NPI assigned
Sep 8, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Margaret Sherry Pemberton
Title
Vice President
Phone
(502) 394-2100

Facilities with the same owner 111

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 111

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omni Home CareCCN 397767
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 13, 2002
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1071704Home Health Agency-Pennsylvania, LLC4000 Town Center Blvd, Suite 260, Canonsburg, PA 15317Certificate of waiverJul 30, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Home health agency certification: CCN 397767

Medicare enrollment files
Legal name
HOME HEALTH AGENCY - PENNSYLVANIA, LLC
Doing business as
OMNI HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 13, 2002
Last certification
Aug 13, 2002
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 29, 2013 in FL
Enrollment address
6000 Town Center Blvd
Ste 325
Canonsburg, PA 15317-5836

All disclosed owners & managing parties 9

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Omni Home Health Services LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest May 16, 2008 100%
Omni Home Health Holdings Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest May 16, 2008 100%
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Feb 22, 2023
Almost Family, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
National Health Industries, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Dec 7, 2013 100%
Mary C Jarnot Individual W-2 Managing EmployeeAdministrator/Director of Nursing Jun 6, 2023

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20030922000043 PA Part a Provider - Home Health Agency 7719898717 Practice locations: Canonsburg, PA

National Provider Directory

National Provider Directory

Locations

4000 Town Center Blvd
Ste 260
Canonsburg, PA 15317

6000 Town Center Blvd
Ste 325
Canonsburg, PA 15317
Phone (412) 276-5030

600 N Bell Ave
Ste 130
Carnegie, PA 15106
Phone (412) 276-5030

262 S Water St
Kittanning, PA 16201
Phone (724) 543-0222

2020 Beaver Ave
Ste 212
Monaca, PA 15061
Phone (724) 728-4180

34 W 10th St
Tyrone, PA 16686
Phone (814) 684-7366

1000 Logan Ave
Tyrone, PA 16686
Phone (814) 684-7366

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 77670501 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

4000 Town Center Blvd Ste 260
Canonsburg, PA 15317-5841

Mailing address

805 N Whittington Pkwy Ste 400
Louisville, KY 40222-7102
Phone (502) 394-2100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1037251300001MedicaidPA

Other names 2

NPPES NPI Registry
  • Adoration Home Health Doing business as
  • Omni Home Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2026.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1922092774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227102",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TOWN CENTER BLVD STE 260",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153175841",
            "telephone_number": "412-276-5030",
            "fax_number": "412-276-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY - PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "SHERRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-394-2100"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "77670501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037251300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omni Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.