OMEGA PRIVATE HOME CARE SERVICE (NPI# 1295989267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295989267 |
| Entity Type | Organization |
| Organization Name | OMEGA PRIVATE HOME CARE SERVICE |
| Practice Address |
4712 Durant Ave. North Charleston SC 29405 |
| Practice Telephone | 8436289117 |
| Mailing Telephone | 8436289117 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | MRS. CHERYL LINN MILLS (PRESIDENT) |
| Authorized Official Telephone | 8436289117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2008-02391NC | SC | Agencies |
| Street Address |
4712 DURANT AVE. |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102061 | Wade's Sitting and Care LLC | Home Health | 5751 Dewsbury Ln, North Charleston, SC 29418-5522 | 2020-07-23 |
| 1316565500 | True Reliance Home Care LLC. | Home Health | 3618 Ashley Phosphate Rd Ste 12, North Charleston, SC 29418-8586 | 2020-07-14 |
| 1427697309 | Vet Life Rehabs,llc | Home Health | 1907 Orvid St, North Charleston, SC 29405-8037 | 2019-12-25 |
| 1891266003 | Paul Pierre Brown | Home Health | 4986 Wetland Xing Apt 2302, North Charleston, SC 29418-7006 | 2018-12-16 |
| 1518450444 | Kiana Nicole Stacey | Home Health | 2444 Storen St Apt B, North Charleston, SC 29406-9834 | 2018-06-14 |
| 1750828364 | Coastal Play 2 Grow Therapy, LLC | Home Health | 8613 Chloe Ln, North Charleston, SC 29406-8103 | 2017-01-22 |
| 1447796677 | Sheila Grant | Home Health | 6520 Dorchester Rd, Apt 200b, North Charleston, SC 29418-5157 | 2017-01-11 |
| 1629485453 | Townes Holdings LLC | Home Health | 4130 Faber Place Dr Ste 108, North Charleston, SC 29405-8502 | 2014-07-14 |
| 1659703056 | Sheila's Precious Loving Care Service, LLC | Home Health | 5414 All St, North Charleston, SC 29418-5509 | 2013-08-07 |
| 1942548011 | Pearl Rehabilitation LLC | Home Health | 1273 Remount Road, North Charleston, SC 29406-3934 | 2013-01-24 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.