{"npi":"1720060601","type":"NPI-2","status":"active","name":{"display":"Omni Home Health District 4, LLC","other":[],"organization_name":"OMNI HOME HEALTH DISTRICT 4, LLC","authorised_official":"Amanda Mcfaddin"},"specialty":{"primary_taxonomy":"251E00000X","primary_taxonomy_description":"Home Health Agency","slug":"home-health-agency","schema_org_specialty":null,"all":[{"code":"251E00000X","description":"Home Health Agency","primary":true,"state":"FL","license":"299991765"}]},"addresses":[{"purpose":"LOCATION","street_1":"2651 PARK ST","city":"JACKSONVILLE","state":"FL","postal_code":"322044519","country_code":"US","phone":"9043897385","fax":"9043897359"},{"purpose":"MAILING","street_1":"510 HOSPITAL DR","city":"MADISON","state":"TN","postal_code":"371155033","country_code":"US","street_2":"SUITE 150","phone":"6157122250","fax":"6155770081"}],"license":{"state":"FL","number":"299991765"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"004233000","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050207000853","type_code":"00-06","type_desc":"PART A PROVIDER - HOME HEALTH AGENCY","state":"FL","pac_id":"5991756959"}]},"enumeration_date":"2005-11-16","last_updated":"2012-06-07","_meta":{"source":"NPPES","snapshot_date":"2012-06-07","doc_url":"https://findmynpi.com/api"}}