Healthcare Provider Details

I. General information

NPI: 1679612162
Provider Name (Legal Business Name): OMNI VISIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 12/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SOUTH PERIMETER PARK DRIVE SUITE 110
NASHVILLE TN
37211
US

IV. Provider business mailing address

301 S. PERIMETER PARK DR SUITE 210
NASHVILLE TN
37211-4143
US

V. Phone/Fax

Practice location:
  • Phone: 615-726-3603
  • Fax:
Mailing address:
  • Phone: 615-726-3603
  • Fax: 615-726-3632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberPSS0000000062
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberSO 09985A
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberL000000007974
License Number StateTN

VIII. Authorized Official

Name: MR. ERIC SCOTT STRICKLAND
Title or Position: PRESIDENT
Credential:
Phone: 615-726-3603