Provider Demographics
NPI:1770452450
Name:OMNIPRESENCE HEALTHCARE AGENCY LLC
Entity type:Organization
Organization Name:OMNIPRESENCE HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGRET
Authorized Official - Middle Name:ODUNAYO
Authorized Official - Last Name:OLUWADARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-486-6663
Mailing Address - Street 1:11401 LENOX DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5715
Mailing Address - Country:US
Mailing Address - Phone:301-379-0277
Mailing Address - Fax:
Practice Address - Street 1:11401 LENOX DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5715
Practice Address - Country:US
Practice Address - Phone:301-379-0277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health