NPIMap

Organization Active NPI

Omni House Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Glen Burnie, MD
National Provider Identifier
1942367222
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
17446 Issued in MD
Legal business name
OMNI HOUSE INC
Practice address
1421 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone
(410) 768-6777
NPI assigned
Jan 3, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
John Cuddy, MBA, FHFMA
Title
Cfo
Phone
(410) 768-6777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 17445 MD
Mental Illness Community Based Residential Treatment Facility 320800000X 17446 MD Primary

Addresses

Primary practice location

1421 Madison Park Dr
Glen Burnie, MD 21061-5613

Mailing address

PO Box 1270
1421 Madison Park Dr
Glen Burnie, MD 21060-1270
Phone (410) 768-6777

National Provider Directory

National Provider Directory
Tax ID family
Omni House Inc2 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.

  • Omni House,Inc
    • Mental Illness Community Based Residential Treatment Facility
    • Glen Burnie, MD
    • NPI 1205013711
    NPD tax ID

Locations

1421 Madison Park Dr
Glen Burnie, MD 21061
Phone (410) 768-6777

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942367222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "address_2": "1421 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210601270",
            "telephone_number": "410-768-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-768-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CUDDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-768-6777",
        "authorized_official_credential": "MBA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "17445",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": "17446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.