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NPI Code Detail

MEDICARE: OMNIA HOME CARE, LLC

MEDICARE: OMNIA HOME CARE, 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1689147092
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMNIA HOME CARE, LLC
Provider Business Mailing Address
First Line : 12808 W AIRPORT BLVD STE 275I
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-6245
Country : US
Telephone Number : 281-832-9419
Fax Number : 281-749-8292
Provider Business Practice Location Address
First Line : 12808 W AIRPORT BLVD STE 275I
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-6245
Country : US
Telephone Number : 281-832-9419
Fax Number : 281-749-8292
Authorized Official
Title or Position : ADMINISTRATOR
Name : KAJAL BENIPAL
Credential :
Telephone Number : 281-832-9419
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/08/2019

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Directions to “OMNIA HOME CARE, LLC ” Practice Location

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