MEDICARE: OMNIAIDE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1598177578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMNIAIDE CORPORATION

Provider Business Mailing Address
First Line	:	1801 OBERLIN RD
Second Line	:	STE. 205
City	:	MIDDLETOWN
State	:	PA
Zip	:	17057-2998
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 OBERLIN RD
Second Line	:	STE. 205
City	:	MIDDLETOWN
State	:	PA
Zip	:	17057-2998
Country	:	US
Telephone Number	:	717-919-4782
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOSEPH POPERNACK
Credential	:
Telephone Number	:	717-919-4782

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	05/27/2014

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Directions to “OMNIAIDE CORPORATION ” Practice Location

Language	Start Address	Practice Location

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