Provider Demographics
NPI:1942388343
Name:OMNI HOME CARE, INC.
Entity Type:Organization
Organization Name:OMNI HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SWARUP
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-862-4000
Mailing Address - Street 1:215 ANN ARBOR RD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-2251
Mailing Address - Country:US
Mailing Address - Phone:734-862-4000
Mailing Address - Fax:866-405-2853
Practice Address - Street 1:215 ANN ARBOR RD.
Practice Address - Street 2:SUITE 100
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2251
Practice Address - Country:US
Practice Address - Phone:734-862-4000
Practice Address - Fax:866-405-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237605Medicare Oscar/Certification