Organization Active NPI

Om Healthcare Management LLC

  • Assisted Living Facility (Mental Illness)
  • Pinellas Park, FL
National Provider Identifier
1245623917
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
12566 Issued in FL
Legal business name
OM HEALTHCARE MANAGEMENT LLC
Practice address
7175 53Rd St N
Pinellas Park, FL 33781-4304
Phone
(727) 544-2147
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Sourabh Chatterjee
Title
Administration
Phone
(727) 544-2147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 12566 FL Primary

Addresses

Primary practice location

7175 53Rd St N
Pinellas Park, FL 33781-4304

Mailing address

7175 53Rd St N
Pinellas Park, FL 33781-4304
Phone (727) 544-2147

Other names 1

  • AMELIAS HOUSE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1245623917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 53RD ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814304",
            "telephone_number": "727-544-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 53RD ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814304",
            "telephone_number": "727-544-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM HEALTHCARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "CHATTERJEE",
        "authorized_official_first_name": "SOURABH",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "727-544-2147"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "12566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMELIAS HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.