OMEGA HOUSE LLC (NPI# 1851891048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851891048 |
| Entity Type | Organization |
| Organization Name | OMEGA HOUSE LLC |
| Other Organization Name | OMEGA HOUSE LLC |
| Practice Address |
5544 N 57th St Milwaukee WI 53218-3229 |
| Mailing Address |
10523 W Birch Ave Milwaukee WI 53225-3213 |
| Practice Telephone | 4148992785 |
| Practice Fax Number | 4149885553 |
| Mailing Telephone | 4148992785 |
| Mailing Fax Number | 4149885553 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | YOUNG OBINNA (ADMINISTRATOR) |
| Authorized Official Telephone | 4148992785 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| OMEGA HOUSE LLC | Doing Business As Name - Organization |
| Street Address |
5544 N 57TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517475 | Estefania L Ocampo | Custodial Care Facility | 1512 S Union St, Milwaukee, WI 53204-2646 | 2020-08-08 |
| 1295353688 | Purposeful Living, LLC | Custodial Care Facility | 3928 W Galena St, Milwaukee, WI 53208-2340 | 2020-07-11 |
| 1649814526 | Hadassah Care Homes Inc. | Custodial Care Facility | 4822 N 47th St, Milwaukee, WI 53218-4414 | 2019-11-04 |
| 1508415894 | Our Home Sweet Home LLC | Custodial Care Facility | 4101 N Montreal St, Milwaukee, WI 53216-1740 | 2019-09-09 |
| 1912553363 | Lisa Bender | Custodial Care Facility | 3335 N 50th St, Milwaukee, WI 53216-3213 | 2019-08-12 |
| 1417512260 | Open With Arms, LLC | Custodial Care Facility | 3906 N Vel R Phillips Ave, Milwaukee, WI 53212-1114 | 2019-05-07 |
| 1427533033 | Hughes N Hughes | Custodial Care Facility | 3700 N 60th St, Milwaukee, WI 53216-2131 | 2018-09-28 |
| 1043701634 | Nelson Home Health Care LLC | Custodial Care Facility | 7303 W Crawford Ave, Milwaukee, WI 53220-1729 | 2018-05-20 |
| 1043665805 | East Point Residential Facility, LLC | Custodial Care Facility | 608 E North Ave, Milwaukee, WI 53212-3423 | 2016-04-29 |
| 1083072078 | Kendric Williams | Custodial Care Facility | 5734 N 60th St, Milwaukee, WI 53218-2039 | 2016-02-04 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on OMEGA HOUSE 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.