Organization Active NPI

Omega Healthcare Concierge

  • Nursing Care Agency
  • Riverside, CA
National Provider Identifier
1790037323
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
218373 Issued in CA
Legal business name
OMEGA HEALTHCARE CONCIERGE
Practice address
4736 Victoria Ave
Riverside, CA 92507-5660
Phone
(951) 214-8775
NPI assigned
Oct 5, 2012
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Lundun Hawkins
Title
Office Manager
Phone
(951) 214-8775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 218373 CA Primary

Addresses

Primary practice location

4736 Victoria Ave
Riverside, CA 92507-5660

Mailing address

PO Box 5595
Newport Beach, CA 92662-5595
Phone (949) 742-0111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1790037323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5595",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926625595",
            "telephone_number": "949-742-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 VICTORIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075660",
            "telephone_number": "951-214-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTHCARE CONCIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "LUNDUN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-214-8775"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "218373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.