Provider Demographics
NPI:1821970849
Name:OMNI TRANS
Entity type:Organization
Organization Name:OMNI TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JANVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:MZALIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-775-1722
Mailing Address - Street 1:7325 MEADOWS DR N
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76140-2048
Mailing Address - Country:US
Mailing Address - Phone:346-775-1722
Mailing Address - Fax:
Practice Address - Street 1:7325 MEADOWS DR N
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76140-2048
Practice Address - Country:US
Practice Address - Phone:346-775-1722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)