Provider Demographics
NPI:1639870967
Name:OMASHOMECARE LLC
Entity Type:Organization
Organization Name:OMASHOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MRS
Authorized Official - Prefix:
Authorized Official - First Name:CHIDINMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-633-4447
Mailing Address - Street 1:130 W CHELTENHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-1027
Mailing Address - Country:US
Mailing Address - Phone:919-633-4447
Mailing Address - Fax:
Practice Address - Street 1:130 W CHELTENHAM AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1027
Practice Address - Country:US
Practice Address - Phone:919-633-4447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care