MEDICARE: OMORICHY VITAL CARE SERVICES 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
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1720936925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMORICHY VITAL CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1707 ACORN GLEN TRL
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-2144
Country	:	US
Telephone Number	:	832-805-6419
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 ACORN GLEN TRL
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-2144
Country	:	US
Telephone Number	:	832-805-6419
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	ABIES RACHAEL EGHAREVBA
Credential	:
Telephone Number	:	832-805-6419

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	04/24/2026

Similar Medicare Providers

1144105099 — ABIES RACHAEL EGHAREVBA
Practice Location Address:

1707 ACORN GLEN TRL
FRESNO, TX
77545-2144

Practice Phone: 832-805-6419
Practice Fax:

1083547822 — MARSHALL JONES KELLY
Practice Location Address:

11923 HIGHWAY 6 , APT 1108
FRESNO, TX
77545

Practice Phone: 346-652-6926
Practice Fax:

1073460945 — MERCE CARE MANAGEMENT LLC
Practice Location Address:

2603 BALSAM RIDGE WAY
FRESNO, TX
77545-7210

Practice Phone: 713-534-4798
Practice Fax:

1598766438 — VKIEM HOME HEALTH SERVICES
Practice Location Address:

4507 TWIN ELM DR
FRESNO, TX
77545-9535

Practice Phone: 281-530-7470
Practice Fax: 972-200-5042

1164417804 — VICAD HUMAN SERVICES
Practice Location Address:

1710 MISTY FAWN LN
FRESNO, TX
77545-9503

Practice Phone: 281-431-5576
Practice Fax:

1295740355 — WALGREEN CO
Practice Location Address:

12225 HIGHWAY 6
FRESNO, TX
77545-8805

Practice Phone: 281-431-4248
Practice Fax: 281-431-4056

Directions to “OMORICHY VITAL CARE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.