NPIMap

Organization Active NPI

Omni Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chester, PA
National Provider Identifier
1669722096
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
OMNI HEALTH SERVICES, INC.
Practice address
100 W 15TH St
Chester, PA 19013-5314
Phone
(484) 480-6284
Fax
(484) 480-8523
NPI assigned
Sep 13, 2012
Organization subpart
Yes
Parent organization
OMNI HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Heather Dombrowski
Title
Credentialing Specialist
Phone
(215) 997-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 W 15TH St
Chester, PA 19013-5314

Mailing address

PO Box 454
Montgomeryville, PA 18936-0454

Other identifiers 2

IdentifierTypeStateIssuer
102001663-0032MedicaidPA
1020016630013MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Omni Health Services Inc24 organizations share this tax ID, including this one
Part of
Omni Health Services Inc

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

405 Avenue of the States
Chester, PA 19013
Phone (484) 480-6284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1669722096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189360454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 15TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135314",
            "telephone_number": "484-480-6284",
            "fax_number": "484-480-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI HEALTH SERVICES, INC.",
        "enumeration_date": "2012-09-13",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "DOMBROWSKI",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "215-997-2000"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102001663-0032",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020016630013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.