Provider Demographics
NPI:1912224650
Name:OMNI EMS INC
Entity Type:Organization
Organization Name:OMNI EMS INC
Other - Org Name:OMNI CARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-330-3522
Mailing Address - Street 1:5303 TIMBER QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3634
Mailing Address - Country:US
Mailing Address - Phone:281-330-3522
Mailing Address - Fax:
Practice Address - Street 1:5303 TIMBER QUAIL DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3634
Practice Address - Country:US
Practice Address - Phone:281-330-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport