Organization Active NPI

Omnia Cum Deo Corp

Doing business as new horizon senior citizen home

  • Assisted Living Facility
  • Inverness, FL
National Provider Identifier
1740463736
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5778 Issued in FL
Legal business name
OMNIA CUM DEO CORP
Doing business as
new horizon senior citizen home
Practice address
1745 Forest Dr
Inverness, FL 34453-3832
Phone
(352) 726-5466
Fax
(352) 726-3529
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Ms. Mary M Ellis, LPN
Title
Administrator
Phone
(352) 726-5466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5778 FL Primary

Addresses

Primary practice location

1745 Forest Dr
Inverness, FL 34453-3832

Mailing address

1745 Forest Dr
Inverness, FL 34453-3832
Phone (352) 726-5466

Other identifiers 1

IdentifierTypeStateIssuer
1412451MedicaidFL

Other names 1

  • new horizon senior citizen home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Horizon Senior Citizen Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1740463736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533832",
            "telephone_number": "352-726-5466",
            "fax_number": "352-726-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533832",
            "telephone_number": "352-726-5466",
            "fax_number": "352-726-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA CUM DEO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-726-5466",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "5778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1412451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new horizon senior citizen home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.