Omega Divine Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

015339 Issued in TX

Legal business name

OMEGA DIVINE HEALTHCARE, INC.

Practice address

102 E Alamo St
Suite 200E
Brenham, TX 77833-3792

Phone

(979) 661-1585

Fax

(979) 393-0087

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Winnifred Ndule

Title

Administrator

Phone

(979) 661-1585

Specialties & licenses 1

Addresses

Tax ID family

Omega Divine Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omega Divine Healthcare, Inc.

  • Home Health Agency
  • Missouri City, TX
  • NPI 1245582105
  NPD tax ID

Locations

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1467850016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E ALAMO ST",
            "address_2": "SUITE 200E",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333792",
            "telephone_number": "979-661-1585",
            "fax_number": "979-393-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E ALAMO ST",
            "address_2": "SUITE 200E",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333792",
            "telephone_number": "979-661-1585",
            "fax_number": "979-393-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA DIVINE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "NDULE",
        "authorized_official_first_name": "WINNIFRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-661-1585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brenham, TX
• Providers in Brenham, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.