MEDICARE: OMEGA HEALTH CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	R2724	MD

General Provider Information

NPI Number	:	1538393475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMEGA HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	1021 LAKE SHORE DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2916
Country	:	US
Telephone Number	:	240-223-7389
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 LAKE SHORE DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2916
Country	:	US
Telephone Number	:	240-223-7389
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. BENEDICT CHUCK MORDI
Credential	:
Telephone Number	:	240-223-7389

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	05/06/2009

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Directions to “OMEGA HEALTH CARE SERVICES INC ” Practice Location

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