Provider Demographics
NPI:1235409350
Name:OMEGA HOME HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:OMEGA HOME HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMUD
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-377-6813
Mailing Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 195
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4102
Mailing Address - Country:US
Mailing Address - Phone:614-431-6444
Mailing Address - Fax:614-453-8188
Practice Address - Street 1:2700 E DUBLIN GRANVILLE RD STE 195
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4102
Practice Address - Country:US
Practice Address - Phone:614-431-6444
Practice Address - Fax:614-453-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health