Provider Demographics
NPI:1760850341
Name:OMEGA CARE NURSING AGENCY
Entity Type:Organization
Organization Name:OMEGA CARE NURSING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-591-2586
Mailing Address - Street 1:15617 MILLBROOK LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3317
Mailing Address - Country:US
Mailing Address - Phone:240-581-2586
Mailing Address - Fax:
Practice Address - Street 1:15617 MILLBROOK LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3317
Practice Address - Country:US
Practice Address - Phone:240-581-2586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health