Provider Demographics
NPI:1861015836
Name:OMALUGO GROUP LLC
Entity Type:Organization
Organization Name:OMALUGO GROUP LLC
Other - Org Name:HOME AT LAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:U
Authorized Official - Last Name:OGUDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-468-1789
Mailing Address - Street 1:11106 CRESTLINE BAY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7275
Mailing Address - Country:US
Mailing Address - Phone:832-468-1789
Mailing Address - Fax:
Practice Address - Street 1:11106 CRESTLINE BAY LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7275
Practice Address - Country:US
Practice Address - Phone:832-468-1789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-25
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility