OMNI HOME CARE LLC
NPI 1023858966
Home Health in Wakefield, MA

Active since May 29, 2024CLIA 22D2322435 · Waiver
607 NORTH AVENUE, DOOR 14-2J, WAKEFIELD, MA 01880(781) 202-1602(781) 202-1602 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2024, Jun 12, 2024, Jun 5, 2024 (3 updates tracked since 2024).

About Omni Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI HOME CARE LLC (NPI 1023858966) is a healthcare organization registered as a home health in Wakefield, Massachusetts and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Jason L. Gauthier, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1023858966
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameOMNI HOME CARE LLC
Location Address607 NORTH AVENUE, DOOR 14-2JWakefield, MA 01880
Mailing Address607 North Avenue, Door 14-2jWakefield, MA 01880 · (774) 362-1199
Fax(781) 202-1602
Organization SubpartNo
Authorized OfficialJason L. GauthierAdministrator/ceo · (781) 202-1602
Enumeration DateMay 29, 2024
Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1023858966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

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.

607 NORTH AVENUE, Wakefield, MA 01880

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2322435

Omni Home Care LLC · Wakefield, MA
Active · expires Apr 21, 2027
CLIA Number22D2322435
Laboratory TypeHome Health Agency
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorMatthew H. Hollis
Laboratory Phone(781) 202-1602
Laboratory LocationOmni Home Care LLC607 North Ave Door 14-2j, Wakefield, MA 01880
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
607 NORTH AVENUE, DOOR 15
WAKEFIELD, MA 01880
Occupational Therapist
607 NORTH AVENUE, #14
WAKEFIELD, MA 01880
Behavior Analyst
607 NORTH AVENUE, DOOR 11 SECOND FLOOR
WAKEFIELD, MA 01880
Social Worker (Clinical)
607 NORTH AVENUE, DOOR 15
WAKEFIELD, MA 01880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Home Care LLC's NPI number?

The NPI number for Omni Home Care LLC is 1023858966. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Omni Home Care LLC located?

Omni Home Care LLC is located at 607 North Avenue Door 14-2j, Wakefield, MA 01880. The listed phone number is (781) 202-1602.

What is Omni Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Omni Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2322435) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omni Home Care LLC was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.