Omni Wellcare Incorporated

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

OMNI WELLCARE INCORPORATED

Practice address

1681 E Flamingo Rd Ste 1
Las Vegas, NV 89119-5274

Phone

(702) 573-3317

NPI assigned

Mar 7, 2025

Organization subpart

No

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

Authorized official

Name

Tracy Go

Title

President

Phone

(702) 782-0376

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Teodora Del Pilar, APRN

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1992195523
  NPD

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1699573337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9142 ASPENDALE RANCH CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 E FLAMINGO RD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195274",
            "telephone_number": "702-573-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI WELLCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-782-0376"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lateef Oladokun Omidiji Jr.
• Rosemary Ominah
• Ominike LLC
• Ominira Therapy
• Omni Care Hospice
• Omnia Medical Supply, LLC
• Omnia Pharmacy Inc
• Omnia Wound Care, LLC
• Omnibus Medical Corp
• Omnicare Health Services LLC

• Behavioral Neurology & Neuropsychiatry Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.