OMNI HEALTHCARE, INC.

Provider Demographics

• NPI: 1134191323
• Name: OMNI HEALTHCARE, INC.
• Entity type: Organization
• Organization Name: OMNI HEALTHCARE, INC.
• Authorized Official - Title/Position: BOARD MEMBER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: CRAIG
• Authorized Official - Middle Name: K
• Authorized Official - Last Name: DELIGDISH
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 321-727-3495
• Mailing Address - Street 1: 1344 S APOLLO BLVD STE 406
• Mailing Address - City: MELBOURNE
• Mailing Address - State: FL
• Mailing Address - Zip Code: 32901-3185
• Mailing Address - Country: US
• Mailing Address - Phone: 321-727-2990
• Mailing Address - Fax: 321-724-0455
• Practice Address - Street 1: 1344 S APOLLO BLVD STE 406
• Practice Address - City: MELBOURNE
• Practice Address - State: FL
• Practice Address - Zip Code: 32901-3185
• Practice Address - Country: US
• Practice Address - Phone: 321-727-2990
• Practice Address - Fax: 321-724-0455
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-02-02
• Last Update Date: 2025-10-02

Provider Licenses

State	License ID	Taxonomies
		208000000X, 207RH0003X, 207RR0500X, 261QM1300X, 213E00000X, 207RE0101X, 207R00000X, 207RC0000X, 207Q00000X, 207RG0100X, 2082S0099X, 207RP1001X, 174400000X
FL	101824	2085R0202X
FL	800001803	291U00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	174400000X	Other Service Providers	Specialist		Group - Multi-Specialty
No	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Multi-Specialty
No	207RR0500X	Allopathic & Osteopathic Physicians	Internal Medicine	Rheumatology	Group - Multi-Specialty
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty	Group - Multi-Specialty
No	213E00000X	Podiatric Medicine & Surgery Service Providers	Podiatrist		Group - Multi-Specialty
No	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology	Group - Multi-Specialty
No	207RE0101X	Allopathic & Osteopathic Physicians	Internal Medicine	Endocrinology, Diabetes & Metabolism	Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207RG0100X	Allopathic & Osteopathic Physicians	Internal Medicine	Gastroenterology	Group - Multi-Specialty
No	2082S0099X	Allopathic & Osteopathic Physicians	Plastic Surgery	Plastic Surgery Within the Head and Neck	Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	291U00000X	Laboratories	Clinical Medical Laboratory		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
FL	250871100	Medicaid
FL	374370500	Medicaid
FL	374370505	Medicaid
FL	374370515	Medicaid
FL	374370513	Medicaid
FL	030372100	Medicaid
FL	374370511	Medicaid
FL	374370512	Medicaid
FL	374370509	Medicaid
FL	39254	Other	BLUE CROSS BLUE SHIELD
FL	374370517	Medicaid
FL	374370507	Medicaid
FL	CC5293	Other	RAILROAD MEDICARE
	39254	Medicare PIN
	39254B	Medicare PIN
FL	374370505	Medicaid
FL	374370509	Medicaid
FL	030372100	Medicaid
FL	374370512	Medicaid
FL	39254	Other	BLUE CROSS BLUE SHIELD
FL	CC5293	Other	RAILROAD MEDICARE
FL	374370500	Medicaid
FL	374370513	Medicaid
FL	374370511	Medicaid