Omnipotent Care Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OMNIPOTENT CARE HOSPICE

Practice address

10542 S Eggleston Ave
Chicago, IL 60628-2426

Phone

(312) 388-1131

Fax

(708) 529-3823

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Donovan McKenzie, DSC

Title

Owner Administrator

Phone

(312) 388-1131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1811267107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10542 S EGGLESTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282426",
            "telephone_number": "312-388-1131",
            "fax_number": "708-529-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10542 S EGGLESTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282426",
            "telephone_number": "312-388-1131",
            "fax_number": "708-529-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIPOTENT CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "OWNER  ADMINISTRATOR",
        "authorized_official_telephone_number": "312-388-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSC"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Diagnostic Laboratory Inc
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• Omni Health.P.C (Lincoln square medical center)
• Omni Laboratory Services
• Omni Wound Physicians Il, PLLC (Omni Wound Physicians Illinois)
• Omovaudo Divine Omo-Eboh, MD
• Uwaila Omokaro
• Rukayat Omolabi
• Olasubomi Jimmy Omoleye, MD
• Charity Omoregie

• Community Based Hospice Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.