Provider Demographics
NPI:1912742701
Name:OMEGA HEALTHNEST LLC
Entity type:Organization
Organization Name:OMEGA HEALTHNEST LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BABATOMIWA
Authorized Official - Middle Name:
Authorized Official - Last Name:EKO-DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-330-1209
Mailing Address - Street 1:7108 SENDA
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6767
Mailing Address - Country:US
Mailing Address - Phone:682-330-1209
Mailing Address - Fax:
Practice Address - Street 1:7108 SENDA
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-6767
Practice Address - Country:US
Practice Address - Phone:682-330-1209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OMEGA HEALTHNEST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health