OMNI PRIVATE DUTY, LLC (NPI# 1831499805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831499805 |
| Entity Type | Organization |
| Organization Name | OMNI PRIVATE DUTY, LLC |
| Practice Address |
25932 Dequindre Rd Suite B Warren MI 48091-1071 |
| Practice Telephone | 5867599525 |
| Practice Fax Number | 5865820184 |
| Mailing Telephone | 5867599525 |
| Mailing Fax Number | 5865820184 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Authorized Official Name | MRS. LUDA BRAND (DIRECTOR OF NURSING/OWNER) |
| Authorized Official Telephone | 5867599525 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DHS HOME HELP PROVIDER ID NUMBER | 0030849 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558760777 | Omni Private Duty, LLC | In Home Supportive Care | 25932 Dequindre Rd, Suite B, Warren, MI 48091-1071 | 2014-08-14 |
| Street Address |
25932 DEQUINDRE RD SUITE B |
| City | WARREN |
| State | MI |
| Zip Code | 48091-1071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366550105 | D-care PC | Family Medicine | 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 | 2006-08-29 |
| 1215568787 | Rtr Physical Therapy | Physical Therapist | 25932 Dequindre Rd, Warren, MI 48091-1071 | 2020-02-03 |
| 1316315575 | St Clair Adult Care PC | Internal Medicine | 25932 Dequindre Rd, Ste. C, Warren, MI 48091-1071 | 2015-09-04 |
| 1558760777 | Omni Private Duty, LLC | In Home Supportive Care | 25932 Dequindre Rd, Suite B, Warren, MI 48091-1071 | 2014-08-14 |
| 1326483801 | Healthwise Associates LLC | Nurse Practitioner | 25932 Dequindre Rd, Warren, MI 48091-1071 | 2013-05-09 |
| 1740596758 | Leniya Dakie Leonard | Social Worker | 25932 Dequindre Rd, Suite C, Warren, MI 48091-1071 | 2010-08-27 |
| 1962596957 | Omni Home Health Care, Inc. | Home Health | 25932 Dequindre Rd, Suite A, Warren, MI 48091-1071 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289951 | Charles Hamm | In Home Supportive Care | 7913 Glen Oaks Dr Ne, Warren, OH 44484-1575 | 2020-09-13 |
| 1255959557 | Leeda Northeast, Inc. | In Home Supportive Care | 1441 Parkman Rd Nw, Warren, OH 44485-2156 | 2020-07-13 |
| 1407416878 | Sos Home Care LLC | In Home Supportive Care | 28677 Ryan Rd, Warren, MI 48092-4124 | 2019-06-18 |
| 1558929984 | Hickory Creek Home Care, LLC | In Home Supportive Care | 315 2nd Ave Ste 311, Warren, PA 16365-2433 | 2019-05-31 |
| 1043775950 | Shannon Monique Foster | In Home Supportive Care | 884 Dana St Ne, Warren, OH 44483-3914 | 2019-02-05 |
| 1336652973 | Elements of Wellness LLC | In Home Supportive Care | 3005 E 11 Mile Rd Ste B, Warren, MI 48092-3523 | 2017-11-06 |
| 1700313046 | Assured Medical Care LLC | In Home Supportive Care | 400 Niles Cortland Rd Se Ste D, Warren, OH 44484-5719 | 2017-05-17 |
| 1295183572 | Mommas Babys | In Home Supportive Care | 7004 Paige Ave, Warren, MI 48091-2647 | 2016-05-27 |
| 1639526361 | Quality Mobile Homecare | In Home Supportive Care | 8611 Lozier Ave, Warren, MI 48089-1748 | 2016-05-23 |
| 1841674918 | My Independent Living Inc. | In Home Supportive Care | 29417 Hoover Rd, Warren, MI 48093-3480 | 2015-07-17 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on OMNI PRIVATE DUTY, 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.