OMNI COMMUNITY HEALTH (NPI# 1316320880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316320880 |
| Entity Type | Organization |
| Organization Name | OMNI COMMUNITY HEALTH |
| Practice Address |
1407 Union Ave Suite 815 Memphis TN 38104-3679 |
| Mailing Address |
301 S Perimeter Park Drive Suite 210 Nashville TN 37211-4128 |
| Practice Telephone | 9018004645 |
| Practice Fax Number | 9017296377 |
| Mailing Telephone | 6157263603 |
| Mailing Fax Number | 6158270421 |
| Enumeration Date | 2015-07-02 |
| 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 |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3376955 | 05 | |
| TN | Q019918 | 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 |
| 1730238155 | Omni Community Health | Social Worker | 1420 W. Baddour Parkway, Suite 240, Lebanon, TN 37087-1510 | 2007-01-09 |
| 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 |
| 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 |
1407 UNION AVE SUITE 815 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
| 1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| 1336441419 | Shane W. Coughlin | Emergency Medicine | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889823 | Infinite Changes Aba Therapy & Autism Services | Community/Behavioral Health | 5115 Covington Way Ste 5, Memphis, TN 38134-5619 | 2020-10-20 |
| 1922643220 | Rs Medical Services Ltd | Community/Behavioral Health | 2700 Jackson Ave Bldg 1, Memphis, TN 38108-3330 | 2019-11-10 |
| 1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
| 1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
| 1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
| 1548730914 | Giles Therapeutic Solutions | Community/Behavioral Health | 4234 Sunnyslope Dr, Memphis, TN 38141-7063 | 2018-11-28 |
| 1184165953 | Dr.lopez Spiritual Family Counseling | Community/Behavioral Health | 4615 Meadow Cliff Dr, Memphis, TN 38125-3274 | 2017-03-13 |
| 1528519634 | Bruce Professional Counseling Services | Community/Behavioral Health | 8159 Green Belt Dr, Memphis, TN 38125-4618 | 2016-10-24 |
| 1336690916 | Ameer Homecare Services,llc | Community/Behavioral Health | 119 Racine St, Suite 103, Memphis, TN 38111-2704 | 2016-10-19 |
| 1023566999 | Up-ward Aba | Community/Behavioral Health | 2068 Evelyn Ave, Memphis, TN 38104-5416 | 2016-09-20 |
| Find all providers in MEMPHIS | ||||
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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.