Provider Demographics
NPI:1447749023
Name:BP OMEGA HOMECARE LLC
Entity Type:Organization
Organization Name:BP OMEGA HOMECARE LLC
Other - Org Name:BP OMEGA HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRINCEPAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBONLAHOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-818-0356
Mailing Address - Street 1:14526 OLD KATY RD STE 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1042
Mailing Address - Country:US
Mailing Address - Phone:832-818-0356
Mailing Address - Fax:281-717-4211
Practice Address - Street 1:14526 OLD KATY RD STE 202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1042
Practice Address - Country:US
Practice Address - Phone:832-818-0356
Practice Address - Fax:281-717-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty