Active NPI
Omni Senior Care Solutions
- In Home Supportive Care Agency
- Mansfield, TX
National Provider Identifier
1427674670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2020
- 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
- Georgina Fomenky
- Title
- Administration
- Phone
- (904) 536-1467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Irving, TX
- NPI 1154943686
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.