OMNI SOUTH HEALTHCARE LLC (NPI# 1801494588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801494588 |
| Entity Type | Organization |
| Organization Name | OMNI SOUTH HEALTHCARE LLC |
| Practice Address |
8225 Ymca Plaza Dr Baton Rouge LA 70810-0922 |
| Mailing Address |
7515 Jefferson Hwy # 155 Baton Rouge LA 70806-8308 |
| Practice Telephone | 2259215697 |
| Practice Fax Number | 9132221693 |
| Mailing Telephone | 2259215697 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | ADRIENNE CLARK ALLEN (OWNER) |
| Authorized Official Telephone | 2252814485 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7515 Jefferson Hwy # 155, Baton Rouge, LA 708068308 | 2259215697 |
| Street Address |
8225 YMCA PLAZA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-0922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822540 | Live Oak Aesthetics and Wellness | Internal Medicine | 8225 Ymca Plaza Dr, Baton Rouge, LA 70810-0922 | 2017-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851719652 | Robreka King | Clinical Nurse Specialist | 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710427646 | Emily Marie Riordan | Clinical Nurse Specialist | 314 Blue Fox Cir, Haughton, LA 71037-7707 | 2017-02-25 |
| 1689116964 | Linda Ford | Clinical Nurse Specialist | 11809 Highway 84 W, Jena, LA 71342-3703 | 2016-11-17 |
| 1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
| 1114308731 | Lifespan Care LLC | Clinical Nurse Specialist | 1950 Duralde Hwy, Eunice, LA 70535-2131 | 2015-06-10 |
| 1831513555 | Charlene Jean Borne | Clinical Nurse Specialist | 70377 11th St, Covington, LA 70433-5394 | 2014-02-17 |
| 1891977369 | True Care LLC | Clinical Nurse Specialist | 20959 Anderson Rd, Zachary, LA 70791-7915 | 2007-11-27 |
| 1679922918 | Jennifer Boudreaux | Clinical Nurse Specialist | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2016-06-07 |
| 1487063590 | William Boston | Clinical Nurse Specialist | 12880 Plank Rd, Baker, LA 70714-4909 | 2014-08-04 |
| 1861825929 | Raven Corporation of New Orleans | Clinical Nurse Specialist | 7506 Jonlee Dr, New Orleans, LA 70128-1435 | 2013-08-13 |
| 1235487380 | Lucy Douglas | Clinical Nurse Specialist | 1809 Northpointe Ln, Suite 203, Ruston, LA 71270-3853 | 2012-08-21 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on OMNI SOUTH HEALTHCARE LLC.
| 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.