Organization Active NPI

Omega Group of South Florida

  • Assisted Living Facility (Mental Illness)
  • Lauderhill, FL
National Provider Identifier
1780016048
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
OMEGA GROUP OF SOUTH FLORIDA
Practice address
2770 NW 58TH Ter
Lauderhill, FL 33313-2380
Phone
(954) 484-3712
Fax
(954) 484-2229
NPI assigned
Aug 8, 2013
Last updated
Sep 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Sonia Whyte
Title
Administrator
Phone
(954) 588-0975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2770 NW 58TH Ter
Lauderhill, FL 33313-2380

Mailing address

2770 NW 58TH Ter
Lauderhill, FL 33313-2380
Phone (954) 484-3712

Other identifiers 1

IdentifierTypeStateIssuer
003955900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Omega Group at South PL Inc2 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": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1780016048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 NW 58TH TER",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132380",
            "telephone_number": "954-484-3712",
            "fax_number": "954-484-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 NW 58TH TER",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132380",
            "telephone_number": "954-484-3712",
            "fax_number": "954-484-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA GROUP OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "WHYTE",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-588-0975"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003955900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.