Omni Private Duty, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OMNI PRIVATE DUTY, LLC

Practice address

25932 Dequindre Rd
Suite B
Warren, MI 48091-1071

Phone

(586) 759-9525

Fax

(586) 582-0184

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Luda Brand, RN

Title

Director of Nursing/Owner

Phone

(586) 759-9525

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Omni Private Duty LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omni Private Duty, LLC

  • In Home Supportive Care Agency
  • Warren, MI
  • NPI 1558760777
  NPD tax ID

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1831499805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25932 DEQUINDRE RD",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911071",
            "telephone_number": "586-759-9525",
            "fax_number": "586-582-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25932 DEQUINDRE RD",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911071",
            "telephone_number": "586-759-9525",
            "fax_number": "586-582-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "LUDA",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING/OWNER",
        "authorized_official_telephone_number": "586-759-9525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS HOME HELP PROVIDER ID NUMBER",
            "identifier": "0030849",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thomas J Oneil, DO

• In Home Supportive Care Agency in Warren, MI
• Providers in Warren, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.