=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811133564
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OMNIPRESENT HOMECARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2008
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3435 GREYSTONE DR STE 104
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78731-2363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-394-7581
-----------------------------------------------------
Fax | 888-622-4329
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7725 W RENO AVE STE 332
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73127-9799
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-947-7700
-----------------------------------------------------
Fax | 888-951-1112
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL/PRESIDENT
-----------------------------------------------------
Name | JUSTIN CARTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 405-947-7700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 017210
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------