Omega Health Supply & Delivery, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5157430001 Issued in MN

Legal business name

OMEGA HEALTH SUPPLY & DELIVERY, INC

Practice address

9909 S Shore Dr
Ste 1F
Plymouth, MN 55441-5037

Phone

(651) 298-9799

Fax

(866) 454-7922

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. George Thompson

Title

Ceo

Phone

(651) 298-9799

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902809056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 S SHORE DR",
            "address_2": "SUITE 1F",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415037",
            "telephone_number": "651-298-9799",
            "fax_number": "866-454-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 S SHORE DR",
            "address_2": "STE 1F",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554415037",
            "telephone_number": "651-298-9799",
            "fax_number": "866-454-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTH SUPPLY & DELIVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-298-9799",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "5157430001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704686",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.