Provider Demographics
NPI:1689147092
Name:OMNIA HOME CARE, LLC
Entity Type:Organization
Organization Name:OMNIA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAJAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENIPAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-832-9419
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 275I
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6245
Mailing Address - Country:US
Mailing Address - Phone:281-832-9419
Mailing Address - Fax:281-749-8292
Practice Address - Street 1:12808 W AIRPORT BLVD STE 275I
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6245
Practice Address - Country:US
Practice Address - Phone:281-832-9419
Practice Address - Fax:281-749-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care