Healthcare Provider Details

I. General information

NPI: 1326243312
Provider Name (Legal Business Name): OMNI HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 OAKMONT WAY
WEST SACRAMENTO CA
95691-3022
US

IV. Provider business mailing address

125 SILVER OAK TER
ORINDA CA
94563-1226
US

V. Phone/Fax

Practice location:
  • Phone: 916-371-1890
  • Fax:
Mailing address:
  • Phone: 925-284-2477
  • Fax: 925-284-4848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. ANELLI P STAMM
Title or Position: VICE PRESIDENT
Credential:
Phone: 925-284-2477