Provider Demographics
NPI:1740749845
Name:OMBI HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:OMBI HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRIHOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-278-9748
Mailing Address - Street 1:2728 COLONIAL AVE SW STE 123
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-3802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2728 COLONIAL AVE SW STE 123
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24015-3802
Practice Address - Country:US
Practice Address - Phone:540-278-9748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care