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General NPI Number Information
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NPI Number | 1083005375
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Entity Type | Organization
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Legal Business Name | OMS REHAB, LLC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 9678 MARION RIDGE DR
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City | KANSAS CITY
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State | MO
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Zip | 64137
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Country | US
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Telephone | 816-783-5003
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Fax | 816-783-5004
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Provider Business Mailing Address
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Address Line | 3750 PRIORITY WAY SOUTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-3831
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Country | US
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Telephone | 877-813-0205
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Fax | 877-604-3468
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Authorized Official
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Title or Position | COMPLIANCE COORDINATOR
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Name | RICHARD DELEON
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Credential |
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Telephone | 317-436-6178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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