OMNI HOME CARE LLC; NPI #1376239699

Contact Information

OMNI HOME CARE LLC

255 BROOKCLEAR LN
FAYETTEVILLE, GA 30215-4639

Phone: 678-353-1985
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nursing Care	251J00000X
Community/Behavioral Health	251S00000X
Home Health	251E00000X	A4[11]	Home Health Agency
In Home Supportive Care	253Z00000X
Nursing Care, Pediatric	3140N1450X
Respite Care	385H00000X
Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X
Respite Care, Physical Disabilities, Child	385HR2065X
Skilled Nursing Facility	314000000X	A1[8]	Skilled Nursing Facility

Indicates primary specialty

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NPI Profile & details for OMNI HOME CARE LLC

NPI #	`1376239699`
LBN Legal business name	OMNI HOME CARE LLC
Authorized official	KEDRA DANIEL - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/11/2023
Last updated	05/05/2023 - About 3 years 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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OMNI HOME CARE LLC

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NPI Profile & details for OMNI HOME CARE LLC

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