Provider Demographics
NPI:1487180030
Name:OM HEALTHCARE LLC
Entity Type:Organization
Organization Name:OM HEALTHCARE LLC
Other - Org Name:BRIGHTSTAR CARE OF HUNTSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOURABH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTERJEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-801-3600
Mailing Address - Street 1:1101 MCMURTRIE DR NW STE D4
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2470
Mailing Address - Country:US
Mailing Address - Phone:256-801-3600
Mailing Address - Fax:256-801-3602
Practice Address - Street 1:1101 MCMURTRIE DR NW STE D4
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2470
Practice Address - Country:US
Practice Address - Phone:256-801-3600
Practice Address - Fax:256-801-3602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health