Omni South Healthcare LLC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

Legal business name

OMNI SOUTH HEALTHCARE LLC

Practice address

8225 YMCA Plaza Dr
Baton Rouge, LA 70810-0922

Phone

(225) 921-5697

Fax

(913) 222-1693

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Adrienne Clark Allen, CNP

Title

Owner

Phone

(225) 281-4485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1801494588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 JEFFERSON HWY # 155",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068308",
            "telephone_number": "225-921-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 YMCA PLAZA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100922",
            "telephone_number": "225-921-5697",
            "fax_number": "913-222-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 Jefferson Hwy # 155",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708068308",
            "country_code": "US",
            "telephone_number": "225-921-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OMNI SOUTH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-281-4485",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Health Clinical Nurse Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Health Clinical Nurse Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.