OMNI HOME CARE LLC NPI 1376239699

NPI Information

NPI: 1376239699
Provider Name: OMNI HOME CARE LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address: 255 BROOKCLEAR LN
FAYETTEVILLE, GA
ZIP 30215
Phone: (678) 353-1985

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NPI Details

OMNI HOME CARE LLC is a nursing care in Fayetteville, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. OMNI HOME CARE LLC NPI is 1376239699. The provider is registered as an organization entity type.

The provider's business location address is:

255 BROOKCLEAR LN
FAYETTEVILLE, GA
ZIP 30215-639
Phone: (678) 353-1985

The provider's authorized official is Kedra Daniel .
The authorized official title is Owner and has the following contact phone number (678) 353-1985.

The enumeration date for this NPI number is 4/11/2023 and was last updated on 5/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251E00000X	Home Health		No
2	251S00000X	Community/Behavioral Health		No
3	253Z00000X	In Home Supportive Care		No
4	314000000X	Skilled Nursing Facility		No
5	3140N1450X	Skilled Nursing Facility	Nursing Care, Pediatric	No
6	385H00000X	Respite Care		No
7	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
8	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
9	251J00000X	Nursing Care		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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