Provider Demographics
NPI:1457482556
Name:OMNI HEALTH CARE LTD
Entity Type:Organization
Organization Name:OMNI HEALTH CARE LTD
Other - Org Name:OMNIPLUS HEALTH CARE LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:REDKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-790-1400
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:STE 2020
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-796-1010
Mailing Address - Fax:713-796-1063
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:STE 2020
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-796-1010
Practice Address - Fax:713-796-1063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169563336C0002X
3336C0004X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4597994OtherNCPDP PROVIDER IDENTIFICATION NUMBER