Provider Demographics
NPI:1083005375
Name:OMS REHAB, LLC
Entity Type:Organization
Organization Name:OMS REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF SALES
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-783-5003
Mailing Address - Street 1:9678 MARION RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137
Mailing Address - Country:US
Mailing Address - Phone:816-783-5003
Mailing Address - Fax:816-783-5004
Practice Address - Street 1:9678 MARION RIDGE DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137
Practice Address - Country:US
Practice Address - Phone:816-783-5003
Practice Address - Fax:816-783-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies