Healthcare Provider Details

I. General information

NPI: 1083592778
Provider Name (Legal Business Name): OMEGAHEALHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13806 CLARKWOOD LN
LAUREL MD
20707-9270
US

IV. Provider business mailing address

13806 CLARKWOOD LN
LAUREL MD
20707-9270
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 301-814-4056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. KING FRANCIS BINNEY
Title or Position: CEO
Credential: BSN
Phone: 301-814-4056