Provider Demographics
NPI:1609128230
Name:OMNI INVESTMENTS GROUP LLC
Entity Type:Organization
Organization Name:OMNI INVESTMENTS GROUP LLC
Other - Org Name:INA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALILOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-226-0171
Mailing Address - Street 1:2324 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1202
Mailing Address - Country:US
Mailing Address - Phone:937-226-0171
Mailing Address - Fax:937-716-2335
Practice Address - Street 1:2324 STANLEY AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1202
Practice Address - Country:US
Practice Address - Phone:937-226-0171
Practice Address - Fax:937-716-2335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care