Organization Active NPI

Omni Community Public Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Louisville, KY
National Provider Identifier
1962358036
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OMNI COMMUNITY PUBLIC HEALTH AND WELLNESS CENTER
Practice address
2001 W Broadway
Louisville, KY 40203-3595
Phone
(502) 365-4162
Fax
(502) 546-7446
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Jacqueline Sanders
Title
Director of Operations & Compliance
Phone
(502) 200-3550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

2001 W Broadway
Louisville, KY 40203-3595

Mailing address

2001 W Broadway
Louisville, KY 40203-3595
Phone (502) 365-4162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1962358036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033595",
            "telephone_number": "502-365-4162",
            "fax_number": "502-546-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033595",
            "telephone_number": "502-365-4162",
            "fax_number": "502-546-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI COMMUNITY PUBLIC HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & COMPLIANCE",
        "authorized_official_telephone_number": "502-200-3550"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.