Individual provider Active NPI

Omar Contreras, RN

  • Home Health Registered Nurse
  • Mission, TX
National Provider Identifier
1609006055
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
677161 Issued in TX
Practice address
1700 W Griffin Pkwy
Mission, TX 78572-7305
Phone
(956) 583-8876
Fax
(956) 580-2356
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 677161 TX Primary

Addresses

Primary practice location

1700 W Griffin Pkwy
Mission, TX 78572-7305

Mailing address

1700 W Griffin Pkwy
Mission, TX 78572-7305
Phone (956) 583-8876

Other identifiers 1

IdentifierTypeStateIssuer
677161OtherTXRN BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
677161TXMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nissi Therapy Center of Edinburg, LLC Current Accepting new patients
High Point Home Health, L.P. Current Accepting new patients
Celestial Care Hospice LLC PastSince May 16, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1609006055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727305",
            "telephone_number": "956-583-8876",
            "fax_number": "956-580-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727305",
            "telephone_number": "956-583-8876",
            "fax_number": "956-580-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "OMAR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "677161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN BOARD",
            "identifier": "677161",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.