Provider Demographics
NPI:1710264106
Name:OMNI HOME CARE OF OHIO, INC.
Entity Type:Organization
Organization Name:OMNI HOME CARE OF OHIO, INC.
Other - Org Name:HEALTH RESOURCE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SWARUP
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-925-6161
Mailing Address - Street 1:3900 SUNFOREST COURT
Mailing Address - Street 2:SUITE 135
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4440
Mailing Address - Country:US
Mailing Address - Phone:419-593-0030
Mailing Address - Fax:419-593-0032
Practice Address - Street 1:3900 SUNFOREST COURT
Practice Address - Street 2:SUITE 135
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4440
Practice Address - Country:US
Practice Address - Phone:419-593-0030
Practice Address - Fax:419-593-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH369022Medicare PIN