MEDICARE: OMS REHAB, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BN1400X	Nursing Facility Supplies (DME)
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1083005375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMS REHAB, LLC

Provider Business Mailing Address
First Line	:	3750 PRIORITY WAY SOUTH DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3831
Country	:	US
Telephone Number	:	877-813-0205
Fax Number	:	877-604-3468

Provider Business Practice Location Address
First Line	:	9678 MARION RIDGE DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64137
Country	:	US
Telephone Number	:	816-783-5003
Fax Number	:	816-783-5004

Authorized Official
Title or Position	:	COMPLIANCE COORDINATOR
Name	:	RICHARD DELEON
Credential	:
Telephone Number	:	317-436-6178

Provider Enumeration Date	:	02/09/2015
Last Update Date	:	06/20/2025

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Directions to “OMS REHAB, LLC ” Practice Location

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