Provider Demographics
NPI:1528519709
Name:OMENAI, WENDIE (MA, HPC, HHA)
Entity type:Individual
Prefix:
First Name:WENDIE
Middle Name:
Last Name:OMENAI
Suffix:
Gender:F
Credentials:MA, HPC, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12610 MAPLEROW AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44105-6914
Mailing Address - Country:US
Mailing Address - Phone:330-459-0909
Mailing Address - Fax:440-579-2816
Practice Address - Street 1:12610 MAPLEROW AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44105-6914
Practice Address - Country:US
Practice Address - Phone:330-459-0909
Practice Address - Fax:440-579-2816
Is Sole Proprietor?:No
Enumeration Date:2016-10-22
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide