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NPI Code Detail

MEDICARE: OMNI HEALTHCARE SERVICES INC

MEDICARE: OMNI HEALTHCARE SERVICES 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1326243312
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMNI HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 125 SILVER OAK TER
Second Line :
City : ORINDA
State : CA
Zip : 94563-1226
Country : US
Telephone Number : 925-284-2477
Fax Number : 925-284-4848
Provider Business Practice Location Address
First Line : 2215 OAKMONT WAY
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3022
Country : US
Telephone Number : 916-371-1890
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. ANELLI P STAMM
Credential :
Telephone Number : 925-284-2477
Provider Enumeration Date : 06/19/2007
Last Update Date : 08/01/2007

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Directions to “OMNI HEALTHCARE SERVICES INC ” Practice Location

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