Provider Demographics
NPI:1649668823
Name:OMNICARE HEALTH SERVICES
Entity type:Organization
Organization Name:OMNICARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAMINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-992-6161
Mailing Address - Street 1:5318 WINDCREST CT
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1158
Mailing Address - Country:US
Mailing Address - Phone:661-992-6161
Mailing Address - Fax:
Practice Address - Street 1:44116 10TH ST W STE 111
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4237
Practice Address - Country:US
Practice Address - Phone:661-940-3051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based