Omniv Health Systems LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OMNIV HEALTH SYSTEMS LLC.

Practice address

4141 Southwest Fwy Ste 515
Houston, TX 77027

Phone

(713) 732-4174

Fax

(713) 960-1122

NPI assigned

Jul 15, 2017

Last updated

Feb 9, 2024By 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

Mr. Courtney Allen Jacobs I

Title

Managing Member/Director

Phone

(713) 732-4174

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1497277933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 DAKOTA ST",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775873012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SOUTHWEST FWY STE 515",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-732-4174",
            "fax_number": "713-960-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIV HEALTH SYSTEMS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-15",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER/DIRECTOR",
        "authorized_official_telephone_number": "713-732-4174",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omnib Home Healthcare
• Omnicare Health Solutions, LLC
• Omnilab LLC
• Omniplus Healthcare, L.P.
• Omnipotent Home Alway From Home Inc
• Chanuvette Omo-Ozugo, RN
• Toyin Omodele, COTA
• Tracy Omoegbele, MD
• Toma Samantha Omofoye, M.D
• Imoleayo Omogunsoye

• Mental Health Clinic/Center (Including Community Mental Health Center) in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.