Ometta, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

R173285-2 Issued in MN

Legal business name

OMETTA, LLC

Practice address

3140 Harbor LN N
Suite 250
Plymouth, MN 55447-5126

Phone

(763) 551-1109

NPI assigned

Oct 23, 2008

Last updated

Oct 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Searcy Miles Currin

Title

Ceo

Phone

(763) 551-1123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1801049788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 HARBOR LN N",
            "address_2": "SUITE 250",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475126",
            "telephone_number": "763-551-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HARBOR LN N",
            "address_2": "SUITE 250",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475126",
            "telephone_number": "763-551-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMETTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "CURRIN",
        "authorized_official_first_name": "SEARCY",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-551-1123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "R173285-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela M Olthoff, PT
• Ibrahim Abdullahi Omar, MD
• Omega Health Supply & Delivery, Inc
• Ometta Health Care Services, Inc (Ometta Health Care)
• Ometta Vent Care Services, Inc (Ometta Vent Care)
• Titilope Olaoluwa Omisakin, DNP, APRN, CNP
• On-Belay of MN Incorporated (Anthony Louis Center)
• Steve Ongera-Ogega, ATC
• Opportunity Partners Inc. (Lavine Place)
• Optage Inc (Presbyterian Homes and Services Rehabilitation)

• Skilled Nursing Facility in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.