Omni Building, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

OMNI BUILDING, INC

Practice address

496 Parsonsfield Rd
Limerick, ME 04048-3325

Phone

(207) 793-8925

Fax

(207) 793-8925

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Heather Ricardo

Title

Vice President

Phone

(207) 793-8925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ricardo's Family Karate Doing business as

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1992948087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 PARSONSFIELD RD",
            "city": "LIMERICK",
            "state": "ME",
            "postal_code": "040483325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 PARSONSFIELD RD",
            "city": "LIMERICK",
            "state": "ME",
            "postal_code": "040483325",
            "telephone_number": "207-793-8925",
            "fax_number": "207-793-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI BUILDING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "RICARDO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "207-793-8925"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125990000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ricardo's Family Karate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Marie Karig, LCMHC
• Gary J Labbe, LCPC-C
• Lacey Graffam
• Melissa Moore Foundation for Health and Wellbeing
• Joel E Nevers, LMSWCC
• Rebecca Ann Palin
• Baxter P Parent
• Ronald D Petersen
• Barbara Amanda Roese
• Georgia Gale Rose, LADC

• All providers in Limerick, ME
• Developmentally Disabled Services Day Training Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.