Provider Demographics
NPI:1760521256
Name:OMNI VISIONS, INC
Entity Type:Organization
Organization Name:OMNI VISIONS, INC
Other - Org Name:OMNI VISIONS, INC - WEST
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-726-3603
Mailing Address - Street 1:301 S. PERIMETER PARK DR.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211
Mailing Address - Country:US
Mailing Address - Phone:615-726-3603
Mailing Address - Fax:615-726-3632
Practice Address - Street 1:50 DIRECTORS ROW
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305
Practice Address - Country:US
Practice Address - Phone:731-668-0062
Practice Address - Fax:731-668-0084
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OMNI VISIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-05
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPSS0000000064314000000X
TNSO 09985A320900000X
TNL000000007898320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility