Organization Active NPI

Omni Caring Services

  • Adult Care Home Facility
  • Fruitland Park, FL
National Provider Identifier
1417403700
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906673 Issued in FL
Legal business name
OMNI CARING SERVICES
Practice address
36154 S. Grays Airport Road
Fruitland Park, FL 34731
Phone
(352) 272-2537
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Mrs. Betty Thomas
Title
Administrator
Phone
(352) 272-2537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906673 FL Primary

Addresses

Primary practice location

36154 S. Grays Airport Road
Fruitland Park, FL 34731

Mailing address

PO Box 61
Fruitland Park, FL 34731-0061
Phone (352) 272-2537

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1417403700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347310061",
            "telephone_number": "352-272-2537",
            "fax_number": "352-787-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36154 S. GRAYS AIRPORT ROAD",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "34731",
            "telephone_number": "352-272-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI CARING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-272-2537",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.