Provider Demographics
NPI:1134949456
Name:OMEGA HOME ,INC.
Entity type:Organization
Organization Name:OMEGA HOME ,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-722-1200
Mailing Address - Street 1:PO BOX 1540
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71802-1540
Mailing Address - Country:US
Mailing Address - Phone:870-722-1205
Mailing Address - Fax:870-777-8618
Practice Address - Street 1:509 N MAIN STREET
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-3442
Practice Address - Country:US
Practice Address - Phone:870-777-4501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OMEGA ROBINSON HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-11
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities