Organization Active NPI

Omama Services Incorporated

  • Home Health Agency
  • Worcester, MA
National Provider Identifier
1972127371
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMAMA SERVICES INCORPORATED
Doing business as
Omama Home Healthcare
Practice address
484 Main St Ste 535
Worcester, MA 01608-1893
Phone
(508) 459-1549
Fax
(833) 274-1228
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Nana Esi Antwi BoasiakoNPI 1376193490
Title
Vice -President
Phone
(508) 459-1549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

484 Main St Ste 535
Worcester, MA 01608-1893

Mailing address

870 Main St
Worcester, MA 01610-1455
Phone (508) 459-1549

Other identifiers 1

IdentifierTypeStateIssuer
1376193490MedicaidMA

Other names 1

  • Omama Home Healthcare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@omamahomehealth.net Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200827000746 MA Part A Provider - Home Health Agency 4183041759 Practice locations: Worcester, MA

Home health agency certification: CCN 227744

Legal name
OMAMA SERVICES INCORPORATED
Doing business as
OMAMA HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 5, 2021
Last certification
Feb 5, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 6, 2019 in MA
Enrollment address
370 Main St
Ste 660
Worcester, MA 01608-1738
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omama Home Health CareCCN 227744
Ownership
Proprietary
Certified
Feb 5, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
22D2214510Omama Services Incorporated370 Main Street, Worcester, MA 01608Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

484 Main St
Ste 535
Worcester, MA 01608
Phone (508) 459-1549

370 Main St
Ste 660
Worcester, MA 01608
Phone (508) 459-1549

870 Main St
Worcester, MA 01610
Phone (540) 755-9940

Ownership & related parties

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.

NameRoleSinceShare
Charles K Antwi Boasiako Individual 5% Or Greater Direct Ownership InterestOwner Sep 6, 2019 50%
Nana Esi Antwi Boasiako Individual 5% Or Greater Direct Ownership InterestOwner Sep 6, 2019 50%
W-2 Managing EmployeeVice President Sep 6, 2019 50%
Operational/Managerial ControlVice President Sep 6, 2019 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1972127371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101455",
            "telephone_number": "508-459-1549",
            "fax_number": "833-274-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 MAIN ST STE 535",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081893",
            "telephone_number": "508-459-1549",
            "fax_number": "833-274-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAMA SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "ANTWI BOASIAKO",
        "authorized_official_first_name": "NANA",
        "authorized_official_middle_name": "ESI",
        "authorized_official_title_or_position": "VICE -PRESIDENT",
        "authorized_official_telephone_number": "508-459-1549"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376193490",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@omamahomehealth.net",
            "affiliation": "N",
            "endpointDescription": "info@omamahomehealth.net",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "info@omamahomehealth.net",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "At&t webmail Host",
            "address_1": "484 Main St Ste 535",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016081893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Omama Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.