Provider Demographics
NPI:1972127371
Name:OMAMA SERVICES INCORPORATED
Entity type:Organization
Organization Name:OMAMA SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE -PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANA
Authorized Official - Middle Name:ESI
Authorized Official - Last Name:ANTWI BOASIAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-459-1549
Mailing Address - Street 1:870 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1455
Mailing Address - Country:US
Mailing Address - Phone:508-459-1549
Mailing Address - Fax:833-274-1228
Practice Address - Street 1:484 MAIN ST STE 535
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1893
Practice Address - Country:US
Practice Address - Phone:508-459-1549
Practice Address - Fax:833-274-1228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1376193490Medicaid