NPIMap

Organization Active NPI

Omni Housecalls LLC

  • Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1013964675
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OMNI HOUSECALLS LLC
Practice address
2080 N State Highway 360
Suite 370
Grand Prairie, TX 75050-1493
Phone
(972) 206-0347
Fax
(972) 206-0365
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Stephenson
Title
President
Phone
(469) 446-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2080 N State Highway 360
Suite 370
Grand Prairie, TX 75050-1493

Mailing address

2080 N State Highway 360
Suite 370
Grand Prairie, TX 75050-1493
Phone (972) 206-0347

Other identifiers 3

IdentifierTypeStateIssuer
0043NNOtherTXBCBS
179190701MedicaidTX
DE4339OtherTXRR MEDICARE

Other names 1

  • Medical Housecalls Doing business as

National Provider Directory

National Provider Directory

Locations

1601 E Lamar Blvd
Ste 118A
Arlington, TX 76011
Phone (817) 460-0200

2080 N State Highway 360
Ste 370
Grand Prairie, TX 75050
Phone (817) 460-0200

833 E Arapaho Rd
Ste 109A
Richardson, TX 75081
Phone (469) 446-0524

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1013964675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 N STATE HIGHWAY 360",
            "address_2": "SUITE 370",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501493",
            "telephone_number": "972-206-0347",
            "fax_number": "972-206-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 N STATE HIGHWAY 360",
            "address_2": "SUITE 370",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501493",
            "telephone_number": "972-206-0347",
            "fax_number": "972-206-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HOUSECALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-446-0524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0043NN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179190701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE4339",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Housecalls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.