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Contact Information

OMNI HOME CARE LLC
607 NORTH AVENUE
DOOR 14-2J
WAKEFIELD, MA01880
 Phone: 781-202-1602
 Fax: 781-202-1602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for OMNI HOME CARE LLC

NPI # 1023858966
LBN Legal business name OMNI HOME CARE LLC
Authorized official JASON GAUTHIER - (ADMINISTRATOR/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2024
Last updated 07/01/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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