Organization Active NPI

Omni Senior Care Solutions

  • In Home Supportive Care Agency
  • Mansfield, TX
National Provider Identifier
1427674670
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OMNI SENIOR CARE SOLUTIONS
Practice address
4412 Ashbury LN
Mansfield, TX 76063-6702
Phone
(904) 536-1467
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Georgina Fomenky
Title
Administration
Phone
(904) 536-1467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

4412 Ashbury LN
Mansfield, TX 76063-6702

Mailing address

3540 E Broad St # 141
Mansfield, TX 76063-5633
Phone (904) 536-1467

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1427674670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 E BROAD ST # 141",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635633",
            "telephone_number": "904-536-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 ASHBURY LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636702",
            "telephone_number": "904-536-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI SENIOR CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "FOMENKY",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "904-536-1467"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.