Provider Demographics
NPI:1518213651
Name:OMNIBUS HEALTH AND HUMAN SERVICES, INC.
Entity Type:Organization
Organization Name:OMNIBUS HEALTH AND HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ELDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CMC
Authorized Official - Phone:954-401-5214
Mailing Address - Street 1:3860 SHERIDAN ST STE A
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3624
Mailing Address - Country:US
Mailing Address - Phone:954-401-5214
Mailing Address - Fax:
Practice Address - Street 1:3860 SHERIDAN ST STE A
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3624
Practice Address - Country:US
Practice Address - Phone:954-401-5214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management