OMNI HEALTH SERVICES, INC. (NPI# 1811468127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811468127 |
Entity Type | Organization |
Organization Name | OMNI HEALTH SERVICES, INC. |
Practice Address |
1747 B East Broad Street Hazleton PA 18201 |
Mailing Address |
Po Box 454 Montgomeryville PA 18936-0454 |
Practice Telephone | 5704550322 |
Practice Fax Number | 5704550566 |
Mailing Telephone | 2159972000 |
Mailing Fax Number | 2159972282 |
Enumeration Date | 2018-12-13 |
Last Update Date | 2018-12-13 |
Authorized Official Name | MICHAEL M THEVAR (PRESIDENT) |
Authorized Official Telephone | 2159972000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1020016630010 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619311537 | Omni Health Services, Inc. | Clinic/Center | 546 Hamilton St, Suite 100, Allentown, PA 18101-1503 | 2013-04-22 |
1174094502 | Omni Health Services, Inc. | Peer Specialist | 301 Mulberry St, Scranton, PA 18503-1230 | 2018-12-11 |
1710453923 | Omni Health Services, Inc. | Clinic/Center | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2018-10-16 |
1821504564 | Omni Health Services, Inc. | Clinic/Center | 427 Market St, Camden, NJ 08102-1525 | 2017-12-18 |
1871911883 | Omni Health Services, Inc. | Counselor | 175 S 21st St, Lower Level, Easton, PA 18042-3835 | 2014-04-07 |
1669722096 | Omni Health Services, Inc. | Counselor | 405 Avenue of The States, 2nd Florr, Chester, PA 19013-4403 | 2012-09-13 |
Street Address |
1747 B EAST BROAD STREET |
City | HAZLETON |
State | PA |
Zip Code | 18201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992335244 | Alfreda A Wujcik | Counselor | 750 E Broad Street, Hazleton, PA 18201 | 2020-01-24 |
1366956781 | Olivia Dworak | Pharmacist | Route 93 Laurel Mall, Hazleton, PA 18201 | 2017-11-21 |
1598283194 | Emily Heller | Massage Therapist | 780 N. Church St., Hazleton, PA 18201 | 2017-09-03 |
1053715425 | Md Enterprises LLC | In Home Supportive Care | 261 S Church St, Hazleton, PA 18201 | 2014-10-14 |
1154605772 | Michael A. Washinsky, Do | Family Medicine | 1730 E Borad Street, Suite1, Hazleton, PA 18201 | 2011-09-30 |
1205158185 | Sally Anne Malkin Gilbert | Pharmacist | Laurel Mall Route 93, Hazleton, PA 18201 | 2010-02-19 |
1790017176 | Michael John Portonova | Chiropractor | 943 North Church Street, Hazleton, PA 18201 | 2010-02-09 |
1598964330 | Anthony John Stachurski Jr. | Occupational Therapy Assistant | 1000 W. 27th St., Hazleton, PA 18201 | 2007-07-12 |
1801017819 | Stephen C Celani | Dentist | 21 East Broad St, Hazelton, PA 18201 | 2007-05-01 |
1073637518 | William J. Spear | Pharmacist | 1 E. Broad St., Hazleton, PA 18201 | 2007-03-19 |
Find all providers in zip 18201 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911313 | Become Empowered | Peer Specialist | 529 Wyoming Ave, Scranton, PA 18509-3009 | 2020-10-27 |
1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
1336766765 | Marvin Mccloe | Peer Specialist | 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 | 2020-07-01 |
1679198535 | Pamela Macon | Peer Specialist | 221 Ridge Ave, New Kensington, PA 15068-5432 | 2020-06-16 |
1750902490 | Jamie Paige Eisner | Peer Specialist | 3934 Foster St, Apartment 332, Pittsburgh, PA 15201 | 2020-05-05 |
1134755861 | Teri Julia Joscak | Peer Specialist | 515 Arlington Ave, North Versailles, PA 15137-1914 | 2020-03-13 |
1003449307 | Melissa Miles | Peer Specialist | 101 Abbey Dr, Linfield, PA 19468-3310 | 2020-02-15 |
1326685256 | The Warm House of Greater Pittsburgh | Peer Specialist | 249 N Craig St, Pittsburgh, PA 15213-1577 | 2019-12-10 |
1477190981 | Barry Gilliam | Peer Specialist | 220 Sycamore Ridge Dr, Springdale, PA 15144-1054 | 2019-12-03 |
1336783943 | Jessica Elease Elam | Peer Specialist | 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 | 2019-11-06 |
Find all providers with the same taxonomy |
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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.