Provider Demographics
NPI:1346567708
Name:OMEGA HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:OMEGA HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OMORODION
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-530-1100
Mailing Address - Street 1:2049 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2632
Mailing Address - Country:US
Mailing Address - Phone:310-530-1100
Mailing Address - Fax:310-530-1101
Practice Address - Street 1:2049 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2632
Practice Address - Country:US
Practice Address - Phone:310-530-1100
Practice Address - Fax:310-530-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health