Active NPI
Omega Healthcare Services and Supply Inc
- Durable Medical Equipment & Medical Supplies
- Westchester, IL
National Provider Identifier
1396772687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.