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NPI Code Detail

MEDICARE: OMNIPRESENT HOMECARE INC

MEDICARE: OMNIPRESENT HOMECARE 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
1251E00000XHome Health Agency017210TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2017210OTHERTXHCSSA

General Provider Information

NPI Number : 1811133564
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMNIPRESENT HOMECARE INC
Provider Business Mailing Address
First Line : 7725 W RENO AVE STE 332
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-9799
Country : US
Telephone Number : 405-947-7700
Fax Number : 888-951-1112
Provider Business Practice Location Address
First Line : 3435 GREYSTONE DR STE 104
Second Line :
City : AUSTIN
State : TX
Zip : 78731-2363
Country : US
Telephone Number : 512-394-7581
Fax Number : 888-951-1112
Authorized Official
Title or Position : AUTHORIZED OFFICIAL/PRESIDENT
Name : JUSTIN CARTER
Credential :
Telephone Number : 405-947-7700
Provider Enumeration Date : 12/31/2008
Last Update Date : 07/02/2025

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Directions to “OMNIPRESENT HOMECARE INC ” Practice Location

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