Provider Demographics
NPI:1558970954
Name:OMK HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:OMK HEALTHCARE SERVICES LLC
Other - Org Name:OMK HEALTHCARE SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MAE
Authorized Official - Middle Name:
Authorized Official - Last Name:UKAEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-713-4848
Mailing Address - Street 1:1035 EVANDALE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5305
Mailing Address - Country:US
Mailing Address - Phone:832-713-4848
Mailing Address - Fax:
Practice Address - Street 1:1035 EVANDALE LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5305
Practice Address - Country:US
Practice Address - Phone:832-713-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health