Provider Demographics
NPI:1912593450
Name:OMEGA HOME HEALTH LLC
Entity Type:Organization
Organization Name:OMEGA HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDOH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:720-323-9759
Mailing Address - Street 1:7535 E HAMPDEN AVE STE 429
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4838
Mailing Address - Country:US
Mailing Address - Phone:720-677-9091
Mailing Address - Fax:720-677-9093
Practice Address - Street 1:7535 E HAMPDEN AVE STE 429
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4838
Practice Address - Country:US
Practice Address - Phone:720-677-9091
Practice Address - Fax:720-677-9093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health