Provider Demographics
NPI:1457559502
Name:OMNI HEALTHCARE MGT, INC
Entity Type:Organization
Organization Name:OMNI HEALTHCARE MGT, INC
Other - Org Name:CLASSIC HOME HEALTHCARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKUSIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-354-5839
Mailing Address - Street 1:5105 TOLLVIEW DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3713
Mailing Address - Country:US
Mailing Address - Phone:773-252-2800
Mailing Address - Fax:773-252-7071
Practice Address - Street 1:5105 TOLLVIEW DR
Practice Address - Street 2:SUITE 270
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3713
Practice Address - Country:US
Practice Address - Phone:773-252-2800
Practice Address - Fax:773-252-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL65379651251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health