Omni Visions, Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · MC Minnville, TN
NPI 1326219528 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1326219528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- SO 09985A (TN)
- Legal business name
- OMNI VISIONS, INC
- Practice address
- 1031 Smithville Hwy
Suite 202
MC Minnville, TN 37110-1600 - Phone
- (931) 507-7775
- Fax
- (931) 507-7779
- NPI assigned
- Mar 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. James M Henry
- Title
- Ceo
- Phone
- (800) 851-6108
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Omni Visions Inc
Locations
1031 Smithville Hwy
Ste 202
Mc Minnville, TN 37110
Phone (931) 507-7775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | SO 09985A | TN | Yes |
Addresses
Primary practice location
1031 Smithville Hwy
Suite 202
MC Minnville, TN 37110-1600
Mailing address
301 S Perimeter Park Dr
Suite 210
Nashville, TN 37211-4143
Phone (800) 851-6108
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1504074 | Medicaid | TN |
Other providers in MC Minnville, TN
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- NHC-Op LP
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- Jennifer Keele Nogodula
- Nra-McMinnville, Tennessee, LLC
- Shleena Bridget Overcast
- Misty Paris-Collins
- Linda Patton
- Sheila Deneen Pertiller
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All providers in MC Minnville, TN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.