Active NPI
Omega Home Care Services LLC
- Nursing Care Agency
- Dickinson, ND
National Provider Identifier
1255824256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 23746
- Legal business name
- OMEGA HOME CARE SERVICES LLC
- Doing business as
- omega home care services llc
- Practice address
- 42 Sims St Ste 15
Dickinson, ND 58601-5116 - Phone
- (701) 595-9661
- NPI assigned
- Jun 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clovis Habimana
- Title
- Member
- Phone
- (252) 455-7533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 23746 | ND | Primary |
Addresses
Primary practice location
42 Sims St Ste 15
Dickinson, ND 58601-5116
Mailing address
224 7TH Ave W # 2
Dickinson, ND 58601-4926
Phone (701) 595-9661
Other names 1
- omega home care services llc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528848000000",
"number": "1255824256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 7TH AVE W # 2",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014926",
"telephone_number": "701-595-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 SIMS ST STE 15",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586015116",
"telephone_number": "701-595-9661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A",
"authorized_official_last_name": "HABIMANA",
"authorized_official_first_name": "CLOVIS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "252-455-7533"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "ND",
"license": "23746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "omega home care services llc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.