Active NPI
Omega Group of South Florida
- Assisted Living Facility (Mental Illness)
- Lauderhill, FL
National Provider Identifier
1780016048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003955900 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Omega Group at South PL Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Lauderhill, FL
- NPI 1821356858
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.