Organization Active NPI

Omnia Care Physician Services LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Mesquite, NV
National Provider Identifier
1659018018
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
OMNIA CARE PHYSICIAN SERVICES LLC
Practice address
350 Falcon Ridge Pkwy Ste 101
Mesquite, NV 89027-8879
Phone
(702) 849-0585
Fax
(702) 849-0614
NPI assigned
May 17, 2022
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
William S Hokanson
Title
Member
Phone
(435) 229-8882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

350 Falcon Ridge Pkwy Ste 101
Mesquite, NV 89027-8879

Mailing address

350 Falcon Ridge Pkwy Ste 101
Mesquite, NV 89027-8879
Phone (702) 849-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012003992 NV Part B Supplier - Clinic/Group Practice 1951756881 Receives reassigned benefits from 5 practitioners
Practice locations: Mesquite, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1659018018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FALCON RIDGE PKWY STE 101",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278879",
            "telephone_number": "702-849-0585",
            "fax_number": "702-849-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FALCON RIDGE PKWY STE 101",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278879",
            "telephone_number": "702-849-0585",
            "fax_number": "702-849-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA CARE PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "HOKANSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "435-229-8882"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.