Provider Demographics
NPI:1912484650
Name:OMEGA HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:OMEGA HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:IDEHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC - GLOBAL HEALTH
Authorized Official - Phone:781-632-8823
Mailing Address - Street 1:2 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4006
Mailing Address - Country:US
Mailing Address - Phone:781-632-8823
Mailing Address - Fax:
Practice Address - Street 1:2 BUTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4006
Practice Address - Country:US
Practice Address - Phone:781-632-8823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health