OMNI HEALTH SERVICES, INC. (NPI# 1174094502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174094502 |
Entity Type | Organization |
Organization Name | OMNI HEALTH SERVICES, INC. |
Practice Address |
301 Mulberry St Scranton PA 18503-1230 |
Mailing Address |
Po Box 454 Montgomeryville PA 18936-0454 |
Practice Telephone | 5705079272 |
Practice Fax Number | 5708807933 |
Mailing Telephone | 2159972000 |
Mailing Fax Number | 2159972282 |
Enumeration Date | 2018-12-11 |
Last Update Date | 2018-12-11 |
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 |
---|---|---|---|---|
1811468127 | Omni Health Services, Inc. | Peer Specialist | 1747 B East Broad Street, Hazleton, PA 18201 | 2018-12-13 |
1619311537 | Omni Health Services, Inc. | Clinic/Center | 546 Hamilton St, Suite 100, Allentown, PA 18101-1503 | 2013-04-22 |
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 |
301 MULBERRY ST |
City | SCRANTON |
State | PA |
Zip Code | 18503-1230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376054577 | Ruma Marshall | Social Worker | 301 Mulberry St, Scranton, PA 18503-1230 | 2017-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
1942866124 | Kashyap Devendrabhai Kela | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center, Suite 1, Scranton, PA 18503 | 2019-05-14 |
1265097778 | Mary Ann Sheerer | Registered Nurse | Geisinger Women's Health Obgyn Clinic, 531 Mount Pleasant Drive, 2nd Floor, Scranton, PA 18503 | 2019-05-09 |
1164913950 | Nirajan Regmi | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Scranton, PA 18503 | 2018-05-29 |
1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
1013407253 | Ashwin Thatti | Student in an Organized Health Care Education/Training Program | 111 N. Washington Avenue, Scranton, PA 18503 | 2018-05-14 |
1972093474 | Anjalika Gupta | Student in an Organized Health Care Education/Training Program | The Wright Center for Graduate Medical Education, 111 N Washington Ave, Scranton, PA 18503 | 2018-05-10 |
1073002085 | Mousa Thalji | Student in an Organized Health Care Education/Training Program | 111 N. Washington Ave., Scranton, PA 18503 | 2018-05-04 |
1861999849 | Tomara Wilding | Counselor | 201 Lackawanna Ave Ste 302, Scranton, PA 18503 | 2018-04-06 |
Find all providers in zip 18503 |
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 |
1336766765 | Marvin Mccloe | Peer Specialist | 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 | 2020-07-01 |
1457978926 | Nicole Lynn Olaes | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-07-01 |
1891312260 | Rebecca Elizabeth June | Peer Specialist | 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 | 2020-07-01 |
1447876594 | Kevin Charles Hughes | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-06-24 |
1881210938 | Shannon Reed Pieck | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-06-24 |
1568088276 | Dawn Marie Benfatti | Peer Specialist | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 | 2020-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
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 |
1346881059 | Linda Jean Ogden | Peer Specialist | 718 Wood St, Pittsburgh, PA 15221-2842 | 2019-10-03 |
1023661113 | Gertrude Cunningham | Peer Specialist | 1041 W Bridge St Ste 420, Phoenixville, PA 19460-4342 | 2019-07-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on OMNI HEALTH SERVICES, INC..
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.