Organization Active NPI

Omega Healthcare Services and Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Westchester, IL
National Provider Identifier
1396772687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OMEGA HEALTHCARE SERVICES AND SUPPLY INC
Practice address
1127 S Mannheim Rd
Suite 216
Westchester, IL 60154-2570
Phone
(708) 344-8400
Fax
(708) 344-8401
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Denice Smith
Title
Administrator
Phone
(708) 344-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

1127 S Mannheim Rd
Suite 216
Westchester, IL 60154-2570

Mailing address

1127 S Mannheim Rd
Suite 216
Westchester, IL 60154-2570
Phone (708) 344-8400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396772687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 S MANNHEIM RD",
            "address_2": "SUITE 216",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542570",
            "telephone_number": "708-344-8400",
            "fax_number": "708-344-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S MANNHEIM RD",
            "address_2": "SUITE 216",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542570",
            "telephone_number": "708-344-8400",
            "fax_number": "708-344-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTHCARE SERVICES AND SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-344-8400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.