OMNI COMMUNITY HEALTH (NPI# 1730238155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730238155 |
| Entity Type | Organization |
| Organization Name | OMNI COMMUNITY HEALTH |
| Practice Address |
1420 W. Baddour Parkway Suite 240 Lebanon TN 37087-1510 |
| Mailing Address |
301 S Perimeter Park Drive Suite 210 Nashville TN 37211-4128 |
| Practice Telephone | 6154531606 |
| Practice Fax Number | 6154531607 |
| Mailing Telephone | 6157263603 |
| Mailing Fax Number | 6158270421 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MARK JUST (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6157263603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | L 214-017-3652 | TN | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | L 214-017-3652 | TN | Behavioral Health & Social Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
L 214-017-3652 | TN | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | L 214-017-3652 | TN | Nursing Service Providers |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
L 214-017-3652 | TN | Allopathic & Osteopathic Physicians |
| N | 251B00000X | Case Management | L 214-017- | TN | Agencies |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
L 214-017-3652 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
L 214-017- | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
L 214-017-3652 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3376955 | 05 | |
| TN | Q019925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
| 1033572227 | Omni Community Health | Community/Behavioral Health | 4709 Papermill Drive, Suite 101, Knoxville, TN 37909-1928 | 2016-04-04 |
| 1770924284 | Omni Community Health | Clinic/Center | 545 Brandies Circle, Murfreesboro, TN 37128 | 2013-07-12 |
| 1134373970 | Omni Community Health | Case Management | 103 Weakley Creek Road, Suite B, Lawrenceburg, TN 38464-2237 | 2008-11-06 |
| 1881743805 | Omni Community Health | Psychologist | 665 South Jefferson Ave, Cookeville, TN 38501-4011 | 2007-01-09 |
| 1437125416 | Omni Community Health | Psychologist | 145 Thompson Lane, Nashville, TN 37211-2411 | 2006-02-28 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1912306382 | Omni Community Health | Clinic/Center | 145 Thompson Lane, Nashville, TN 37211-2411 | 2014-08-21 |
| 1184870578 | Omni Community Health | Community/Behavioral Health | 2001 Mallory Lane, Suite 300-b, Franklin, TN 37067-8236 | 2008-08-18 |
| Street Address |
1420 W. BADDOUR PARKWAY SUITE 240 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103497 | Josalyn Lawrence | Counselor | 550 S Main St Ste 105, Lebanon, OR 97355-3335 | 2020-10-26 |
| 1780204966 | Amanda Lynn Nowlin | Counselor | 4065 Hunters Point Pike, Lebanon, TN 37087-1192 | 2020-04-17 |
| 1255971065 | Mari Carter | Counselor | 217 E High St, Lebanon, TN 37087-6702 | 2020-01-09 |
| 1275182081 | Jane F Ilgenfritz | Counselor | 746 Cumberland St, Lebanon, PA 17042-5236 | 2019-09-05 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1861876104 | Claudia Jett | Counselor | 511 Coles Ferry Pike, Lebanon, TN 37087-2209 | 2015-07-16 |
| 1912305160 | Brian Bowden | Counselor | 5 Blacksmith St, Lebanon, NH 03766-1507 | 2014-12-19 |
| 1932511912 | Lauren F Ordner | Counselor | 1220 State Route 31 N, Suite 17, Lebanon, NJ 08833-3237 | 2014-05-27 |
| 1831439223 | Access Intensive Counseling LLC | Counselor | 705 East Main Street, Lebanon, VA 24266 | 2013-02-21 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.