Organization Active NPI

Omnia Cum Deo Corp

  • Assisted Living Facility
  • Winter Haven, FL
National Provider Identifier
1891910337
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5495 Issued in FL
Legal business name
OMNIA CUM DEO CORP
Practice address
2100 State Road 540 W
Winter Haven, FL 33880-1768
Phone
(863) 299-3651
Fax
(863) 294-4327
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Frank J. Brixius
Title
Owner
Phone
(952) 470-1531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5495 FL Primary

Addresses

Primary practice location

2100 State Road 540 W
Winter Haven, FL 33880-1768

Mailing address

2100 State Road 540 W
Winter Haven, FL 33880-1768
Phone (863) 299-3651

Other identifiers 1

IdentifierTypeStateIssuer
1406272 00MedicaidFL

Other names 1

  • New Horizon Share Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Horizon Senior Citizen Home2 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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1891910337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATE ROAD 540 W",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801768",
            "telephone_number": "863-299-3651",
            "fax_number": "863-294-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE ROAD 540 W",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801768",
            "telephone_number": "863-299-3651",
            "fax_number": "863-294-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA CUM DEO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BRIXIUS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-470-1531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406272 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizon Share Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.