Provider Demographics
NPI:1326243312
Name:OMNI HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:OMNI HEALTHCARE SERVICES INC
Other - Org Name:SOMERSET NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANELLI
Authorized Official - Middle Name:P
Authorized Official - Last Name:STAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-284-2477
Mailing Address - Street 1:125 SILVER OAK TER
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-1226
Mailing Address - Country:US
Mailing Address - Phone:925-284-2477
Mailing Address - Fax:925-284-4848
Practice Address - Street 1:2215 OAKMONT WAY
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-3022
Practice Address - Country:US
Practice Address - Phone:916-371-1890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA055887Medicare Oscar/Certification