Omni Human Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OMNI HUMAN SERVICES, LLC

Practice address

109 Beau Pkwy
D
Elizabeth City, NC 27909-7767

Phone

(252) 337-7668

Fax

(252) 337-6304

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wendeline Scantling McLain, BS/QP

Title

Chief Executive Officer

Phone

(910) 818-1236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1407188444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BEAU PKWY",
            "address_2": "D",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097767",
            "telephone_number": "252-337-7668",
            "fax_number": "252-337-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEAU PKWY",
            "address_2": "D",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097767",
            "telephone_number": "252-337-7668",
            "fax_number": "252-337-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HUMAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "WENDELINE",
        "authorized_official_middle_name": "SCANTLING",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-818-1236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS/QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.