Provider Demographics
NPI:1700151537
Name:OMON HOME CARE INC
Entity Type:Organization
Organization Name:OMON HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSAMUDIAMEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:OBANOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-392-1786
Mailing Address - Street 1:2419 FAIRBREEZE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5103
Mailing Address - Country:US
Mailing Address - Phone:832-329-1132
Mailing Address - Fax:
Practice Address - Street 1:2419 FAIRBREEZE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5103
Practice Address - Country:US
Practice Address - Phone:832-329-1132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home