Provider Demographics
NPI:1881644037
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:
Authorized Official - Phone:614-718-1088
Mailing Address - Street 1:28116 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3737
Mailing Address - Country:US
Mailing Address - Phone:734-862-4000
Mailing Address - Fax:734-667-2309
Practice Address - Street 1:6438 WILMINGTON PIKE
Practice Address - Street 2:SUITE 215
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-7022
Practice Address - Country:US
Practice Address - Phone:614-718-1088
Practice Address - Fax:614-718-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========Medicaid
368158Medicare Oscar/Certification