Active NPI
Omni Caring Services
- Adult Care Home Facility
- Fruitland Park, FL
National Provider Identifier
1417403700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906673
- 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, 2016
- 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
- Mrs. Betty Thomas
- Title
- Administrator
- Phone
- (352) 272-2537
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.