Organization Active NPI

Omega Care Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bear, DE
National Provider Identifier
1699474445
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
OMEGA CARE SERVICES LLC
Practice address
608 Garron Point Pass
Bear, DE 19701-1994
Phone
(267) 574-3622
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Mrs. Modupeola Salami
Title
Ceo
Phone
(267) 574-3622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

608 Garron Point Pass
Bear, DE 19701-1994

Mailing address

1167 W Baltimore Pike Ste 227
Media, PA 19063-5127
Phone (267) 574-3622

National Provider Directory

National Provider Directory

Locations

1167 W Baltimore Pike
Ste 227
Media, PA 19063

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1699474445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 W BALTIMORE PIKE STE 227",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635127",
            "telephone_number": "267-574-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GARRON POINT PASS",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011994",
            "telephone_number": "267-574-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "SALAMI",
        "authorized_official_first_name": "MODUPEOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-574-3622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.