Omni Park Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

OMNI PARK HEALTH CARE, LLC

Practice address

27801 Euclid Ave
Suite 600
Euclid, OH 44132-3549

Phone

(216) 289-8963

Fax

(216) 289-9114

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lee Maynard Sr.NPI 1881103364

Title

President

Phone

(216) 289-8963

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OMNI PARK HOME CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Maynard

  • Addiction (Substance Use Disorder) Counselor
  • Euclid, OH
  • NPI 1881103364
  NPD Authorized official

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1922037829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE",
            "address_2": "SUITE 600",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-289-8963",
            "fax_number": "216-289-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 EUCLID AVE",
            "address_2": "SUITE 600",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323549",
            "telephone_number": "216-289-8963",
            "fax_number": "216-289-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI PARK HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-289-8963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMNI PARK HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMNI PARK HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Oldham, FNP-C
• Ariane Shante Oliver
• Jasmine Oliver
• Sabrina V Ollie
• Thomas Omaille
• Akinbobola Omotosho
• Noreen T Ondrusko, PA-C
• One Phreeway
• Ori Kushnir MD OBGYN LLC
• Herbert Arthur Orlansky, D.M.D.

• Home Health Agency in Euclid, OH
• Providers in Euclid, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.