Organization Active NPI

Omnilife Systems Inc

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1942516943
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OMNILIFE SYSTEMS INC
Practice address
50 W 5TH Ave
Columbus, OH 43201-3219
Phone
(614) 299-3100
Fax
(614) 299-3813
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Robert C Banasik
Title
President
Phone
(614) 299-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

50 W 5TH Ave
Columbus, OH 43201-3219

Mailing address

PO Box 8309
50 W Fifth Ave
Columbus, OH 43201-0309
Phone (614) 299-3100

Other identifiers 1

IdentifierTypeStateIssuer
36H115OtherOHMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1942516943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8309",
            "address_2": "50 W FIFTH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432010309",
            "telephone_number": "614-299-3100",
            "fax_number": "614-299-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013219",
            "telephone_number": "614-299-3100",
            "fax_number": "614-299-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNILIFE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "BANASIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-299-3100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "36H115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.