Organization
OMNI HOME HEALTH SERVICES OF EASTERN CONNECTICUT, LLC
Active
Other names
Backus Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL E. LOHR (TREASURER)
(860) 889-8331
Entity
Organization
Contact information
Practice address
12 CASE STREET, SUITE 317, NORWICH, CT 06360-2222
(860) 889-7198
(860) 892-6694
Mailing address
12 CASE STREET, SUITE 317, NORWICH, CT 06360-2222
(860) 889-7198
(860) 892-6694
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C9714610
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004171237
—
CT
05
—
004171237077214
—
CT
01
—
9366321
UNEMPLOYMENT PROVIDER NUM
CT
Enumeration date
08/10/2006
Last updated
02/23/2012
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