MEDICARE: OMNICARE ASSOCIATES, INC.

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	251E00000X	Home Health Agency	008761	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215973185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMNICARE ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	3010 LYNDON B JOHNSON FWY STE 1100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2712
Country	:	US
Telephone Number	:	517-768-4373
Fax Number	:	903-537-8420

Provider Business Practice Location Address
First Line	:	712 W MAGNOLIA AVE
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76104-4609
Country	:	US
Telephone Number	:	469-828-0019
Fax Number	:	469-828-4532

Authorized Official
Title or Position	:	COMPLIANCE PRIVACY&SAFETY OFFICER
Name	:	KATIE MONASTIERE
Credential	:
Telephone Number	:	517-768-4373

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	09/30/2024

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Directions to “OMNICARE ASSOCIATES, INC. ” Practice Location

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