Omni Healthcare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OMNI HEALTHCARE SERVICES LLC

Practice address

560 Thornton Rd Ste 214
Lithia Springs, GA 30122-1656

Phone

(678) 637-6249

Fax

(404) 393-4950

NPI assigned

Jul 29, 2019

Last updated

Mar 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ken IbetoNPI 1053807347

Title

Member

Phone

(678) 637-6249

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Ken Ibeto

  • Home Health Clinical Nurse Specialist
  • Lithia Springs, GA
  • NPI 1053807347
  NPD Authorized official

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1477107365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7646 FOREST GLEN WAY",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301226867",
            "telephone_number": "678-637-6249",
            "fax_number": "404-393-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 THORNTON RD STE 214",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221656",
            "telephone_number": "678-637-6249",
            "fax_number": "404-393-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "IBETO",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-637-6249"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003207509A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1053807347",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Nyambi
• Daryll Oby, DC
• Chinasa Ogbobe, PMHNP-BC
• Abidemi Oluwaseun Ogunbode
• Gloria Eberechukwu Okoye, FNP
• One of a Kind Financial Services, Inc. (One of A Kind Counseling Centers)
• Esther Onyirimba
• Lisa Ortenzi, MD
• Joseph Osondu, CEO
• Outreach Transportation Service

• In Home Supportive Care Agency in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.