Organization Active NPI

Omega in-Home Service, LLC

  • In Home Supportive Care Agency
  • Monroe, NC
National Provider Identifier
1558978247
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OMEGA IN-HOME SERVICE, LLC
Practice address
2606 W Roosevelt Blvd Ste F
Monroe, NC 28110-8325
Phone
(980) 313-8517
NPI assigned
Sep 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Ryan Leak
Title
Owner
Phone
(704) 242-3701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2606 W Roosevelt Blvd Ste F
Monroe, NC 28110-8325

Mailing address

2606 W Roosevelt Blvd Ste F
Monroe, NC 28110-8325
Phone (980) 313-8517

National Provider Directory

National Provider Directory

Locations

2606 W Roosevelt Blvd
Unit 4
Monroe, NC 28110

2606 W Roosevelt Blvd
Ste F
Monroe, NC 28110
Phone (980) 313-8517

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1558978247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 W ROOSEVELT BLVD STE F",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108325",
            "telephone_number": "980-313-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 W ROOSEVELT BLVD STE F",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108325",
            "telephone_number": "980-313-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA IN-HOME SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "LEAK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-242-3701"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.