Provider Demographics
NPI:1679876254
Name:OMEGA NURSING SERVICES
Entity Type:Organization
Organization Name:OMEGA NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:
Authorized Official - Last Name:PREMPEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-241-4491
Mailing Address - Street 1:1050 17TH ST NW STE 1000
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5512
Mailing Address - Country:US
Mailing Address - Phone:200-241-4491
Mailing Address - Fax:877-623-0599
Practice Address - Street 1:1050 17TH ST NW STE 1000
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5512
Practice Address - Country:US
Practice Address - Phone:200-241-4491
Practice Address - Fax:877-623-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNSA0248251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health