Organization Active NPI

Omni Care Consulting Services PLLC

  • Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1467139998
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OMNI CARE CONSULTING SERVICES PLLC
Practice address
2735 Hassert Blvd, Ste 135, #681
Naperville, IL 60564
Phone
(630) 863-0722
NPI assigned
Jun 27, 2023
Last updated
Mar 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Authorized official

Name
Ayodeji Adegoye
Title
Ceo
Phone
(773) 983-9892

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

2735 Hassert Blvd, Ste 135, #681
Naperville, IL 60564

Mailing address

2735 Hassert Blvd, Ste 135, #681
Naperville, IL 60564
Phone (630) 863-0722

National Provider Directory

National Provider Directory

Locations

2735 Hassert Blvd
Ste 135681
Naperville, IL 60564
Phone (773) 983-9892

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710028800000",
    "number": "1467139998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD, STE 135, #681",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-863-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD, STE 135, #681",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-863-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI CARE CONSULTING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "ADEGOYE",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-983-9892"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.