Provider Demographics
NPI:1427736297
Name:OMT CONSULT LLC
Entity type:Organization
Organization Name:OMT CONSULT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWANISHOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-802-8216
Mailing Address - Street 1:1727 W MATISSE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1727 W MATISSE DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1516
Practice Address - Country:US
Practice Address - Phone:302-803-8216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OMT CONSULT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-10
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care