MEDICARE: OMAVIDA CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency
3	253Z00000X	In Home Supportive Care Agency
4	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
5	343900000X	Non-emergency Medical Transport (VAN)
6	332BX2000X	Oxygen Equipment & Supplies (DME)
7	251F00000X	Home Infusion Agency
8	341600000X	Ambulance
9	251J00000X	Nursing Care Agency
10	333600000X	Pharmacy
11	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1457246241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMAVIDA CARE LLC

Provider Business Mailing Address
First Line	:	1201 E SCHUSTER AVE BLDG 7
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 E SCHUSTER AVE BLDG 7
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4660
Country	:	US
Telephone Number	:	915-637-9338
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	OGECHIKA ALOZIE
Credential	:	MD
Telephone Number	:	915-222-1300

Provider Enumeration Date	:	06/11/2025
Last Update Date	:	12/10/2025

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Directions to “OMAVIDA CARE LLC ” Practice Location

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