Omega House, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OMEGA HOUSE, INC

Practice address

2211 Maureen LN
Houghton, MI 49931-1967

Phone

(906) 482-4438

Fax

(906) 482-6144

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By 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

Michael Lutz

Title

Executive Director

Phone

(906) 482-4438

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1508416025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MAUREEN LN",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311967",
            "telephone_number": "906-482-4438",
            "fax_number": "906-482-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAUREEN LN",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311967",
            "telephone_number": "906-482-4438",
            "fax_number": "906-482-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "906-482-4438"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS' ADMINISTRATION",
            "identifier": "Q5009",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.rowe@omega-house.org",
            "affiliation": "N",
            "address_1": "2211 Maureen Ln",
            "city": "Houghton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "499311967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gail Ann Neufeld, OTL
• Katherine Nordeng-Hoel, R.N.
• Bella Luisa Nutini, PA-C
• Erin Bray Nuttall, ATC, PTA
• Holly Sue O Clair, OD
• Katherine Claire Orr, PHARMD
• Jaime Oswald, MD
• Tiffany Paavola, OT
• Jonathan Packham, OTR/L
• Carli Pares

• Adult Care Home Facility in Houghton, MI
• Providers in Houghton, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.