Provider Demographics
NPI:1942489398
Name:OMNI HOME HEALTH, INC
Entity Type:Organization
Organization Name:OMNI HOME HEALTH, INC
Other - Org Name:THE DOCTORS CHOICE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:WITTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-857-0797
Mailing Address - Street 1:6222 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 515
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5123
Mailing Address - Country:US
Mailing Address - Phone:855-857-0797
Mailing Address - Fax:323-935-1654
Practice Address - Street 1:6222 WILSHIRE BLVD
Practice Address - Street 2:SUITE 515
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5123
Practice Address - Country:US
Practice Address - Phone:855-857-0797
Practice Address - Fax:323-935-1654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000419251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health