Omega Healthcare Systems LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

28142963A Issued in IN

Legal business name

OMEGA HEALTHCARE SYSTEMS LLC

Practice address

519 Oxford St
Fort Wayne, IN 46806-4177

Phone

(260) 497-9908

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Edna Olanma Isiorho, RN, MSN, MSED

Title

Director/President

Phone

(260) 497-9908

Specialties & licenses 1

Addresses

Other names 1

• Omega Home Healthcare Services Other name

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1508054073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 LOGANBERRY CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189596",
            "telephone_number": "260-497-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 OXFORD ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468064177",
            "telephone_number": "260-497-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTHCARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ISIORHO",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "OLANMA",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "260-497-9908",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN, MSED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "28142963A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Home Healthcare Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexa R Olsen, BS
• Eric A Olsen, M.D.
• Andrew Robert Olson, D.O.
• Sarah Nichole Olson, NP-C
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• Makailyn Omo, RBT
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• Home Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.