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NPI Code Detail

MEDICARE: OMNITION LLC

MEDICARE: OMNITION 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1194668921
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMNITION LLC
Provider Business Mailing Address
First Line : 133 N QUARRY ST
Second Line :
City : ITHACA
State : NY
Zip : 14850-4505
Country : US
Telephone Number : 804-496-8105
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W GRAND RIVER AVE STE A
Second Line :
City : OKEMOS
State : MI
Zip : 48864-1604
Country : US
Telephone Number : 804-496-8105
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : CHUKWUEMEKA J IBE
Credential :
Telephone Number : 804-496-8105
Provider Enumeration Date : 04/14/2026
Last Update Date : 05/26/2026

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Directions to “OMNITION LLC ” Practice Location

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