Provider Demographics
NPI:1588033872
Name:OMEGA MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:OMEGA MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KWAKWA-AMPADU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-579-0881
Mailing Address - Street 1:50 CHEYENNE RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2652
Mailing Address - Country:US
Mailing Address - Phone:508-304-9873
Mailing Address - Fax:
Practice Address - Street 1:50 CHEYENNE RD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2652
Practice Address - Country:US
Practice Address - Phone:508-304-9873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health