Omega House LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OMEGA HOUSE LLC

Practice address

5544 N 57TH St
Milwaukee, WI 53218-3229

Phone

(414) 899-2785

Fax

(414) 988-5553

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Young Obinna

Title

Administrator

Phone

(414) 899-2785

Specialties & licenses 1

Addresses

Other names 1

• OMEGA HOUSE LLC Doing business as

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1851891048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 W BIRCH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253213",
            "telephone_number": "414-899-2785",
            "fax_number": "414-988-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 N 57TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532183229",
            "telephone_number": "414-899-2785",
            "fax_number": "414-988-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "OBINNA",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-899-2785"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMEGA HOUSE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohamed Farah Omar
• Tanya Omar, DO
• Welid Omar
• Muhammad Abdalla Omari, DDS
• David Ombengi, PHARM.D
• Omega Prenatal Care Coordination Services LLC
• Kathleen A Omelina, NP
• Omnawal Transportation LLC
• Omni Enrichment, Incorporation
• Omni Family Medical Clinic SC

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.