Omega Provider Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010465 Issued in TX

Legal business name

OMEGA PROVIDER SERVICES INC

Practice address

2300 Valley View LN
Suite 619
Irving, TX 75062-1721

Phone

(817) 728-5590

Fax

(817) 728-5599

NPI assigned

Aug 7, 2006

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ngozi May Mbakwe

Title

Administrator

Phone

(817) 728-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Omega Home HealthCare Agency Former legal business name

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1023027026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN",
            "address_2": "SUITE 619",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621721",
            "telephone_number": "817-728-5590",
            "fax_number": "817-728-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN",
            "address_2": "SUITE 619",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621721",
            "telephone_number": "817-728-5590",
            "fax_number": "817-728-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "MBAKWE",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-728-5590",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "010465",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Home HealthCare Agency",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Irving, TX
• Providers in Irving, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.