Healthcare Provider Details

I. General information

NPI: 1356261135
Provider Name (Legal Business Name): OMEGA COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 PORTSIDE CT
BEAR DE
19701-2431
US

IV. Provider business mailing address

138 PORTSIDE CT
BEAR DE
19701-2431
US

V. Phone/Fax

Practice location:
  • Phone: 267-902-1606
  • Fax:
Mailing address:
  • Phone: 267-902-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BONGOFA PATRICK MATE
Title or Position: CEO
Credential:
Phone: 267-902-1606