Provider Demographics
NPI:1164291514
Name:OMNICARE HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:OMNICARE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RE'AL
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-232-8007
Mailing Address - Street 1:5161 SAN FELIPE STREET
Mailing Address - Street 2:SUITE 320-5504
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056
Mailing Address - Country:US
Mailing Address - Phone:866-805-7722
Mailing Address - Fax:866-265-3444
Practice Address - Street 1:5161 SAN FELIPE STREET
Practice Address - Street 2:SUITE 320-5504
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:866-805-7722
Practice Address - Fax:866-265-3444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty