Provider Demographics
NPI:1629552773
Name:OMEGA HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:OMEGA HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALIOSKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-598-8870
Mailing Address - Street 1:8600 NW SOUTH RIVER DR STE 114
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7445
Mailing Address - Country:US
Mailing Address - Phone:786-598-8870
Mailing Address - Fax:786-598-8830
Practice Address - Street 1:8600 NW SOUTH RIVER DR STE 114
Practice Address - Street 2:
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-7445
Practice Address - Country:US
Practice Address - Phone:786-598-8870
Practice Address - Fax:786-598-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization