Healthcare Provider Details

I. General information

NPI: 1699642397
Provider Name (Legal Business Name): OMEGA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 N QUEEN ST OFC 9
MARTINSBURG WV
25401-3312
US

IV. Provider business mailing address

142 N QUEEN ST STE 9
MARTINSBURG WV
25401-3312
US

V. Phone/Fax

Practice location:
  • Phone: 304-767-3846
  • Fax:
Mailing address:
  • Phone: 304-767-3846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAN STRICKLAND
Title or Position: ADMINITRATOR
Credential:
Phone: 304-767-3846