Provider Demographics
NPI:1659527273
Name:OMEGA REHABILITATION SERVICES LLC
Entity Type:Organization
Organization Name:OMEGA REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BABINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-787-6802
Mailing Address - Street 1:3505 BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62711-7954
Mailing Address - Country:US
Mailing Address - Phone:217-787-6802
Mailing Address - Fax:217-726-5297
Practice Address - Street 1:3505 BLUFF RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62711-7954
Practice Address - Country:US
Practice Address - Phone:217-787-6802
Practice Address - Fax:217-726-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty