Organization Active NPI

Omni Health Corp

  • Durable Medical Equipment & Medical Supplies
  • Paris, TN
National Provider Identifier
1891786620
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000536 Issued in TN
Legal business name
OMNI HEALTH CORP
Practice address
234 Tyson Ave
Paris, TN 38242-4575
Phone
(731) 642-7365
Fax
(731) 642-7427
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

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

Authorized official

Name
Mr. Rob Nichols
Title
Owner
Phone
(731) 642-7365

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000536 TN Primary
Pharmacy 333600000X 1062 TN

Addresses

Primary practice location

234 Tyson Ave
Paris, TN 38242-4575

Mailing address

234 Tyson Ave
Paris, TN 38242-4575
Phone (731) 642-7365

Other identifiers 1

IdentifierTypeStateIssuer
3546501MedicaidTN

Other names 1

  • MCP MEDICAL EQUIPMENT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373673600000",
    "number": "1891786620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424575",
            "telephone_number": "731-642-7365",
            "fax_number": "731-642-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424575",
            "telephone_number": "731-642-7365",
            "fax_number": "731-642-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2013-07-13",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-642-7365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000536",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "1062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3546501",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCP MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; 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.