My Omni Housecalls, Inc

LBN: My Omni Housecalls, Inc
My Omni Housecalls, Inc is an health care organization with primary practice located at 10926 David Taylor Drive Suite 120, Charlotte NC 28262. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. My Omni Housecalls, Inc can be contacted via phone (336) 706-6614, or through Hatchett, Mary Motley via phone (336) 706-6614.

Contact Information

Primary practice address
10926 David Taylor Drive Suite 120 Charlotte NC 28262
Phone: (336) 706-6614
Fax: (336) 450-1846
Website:
Map and Directions
Authorized official contact:
Name: Hatchett, Mary Motley A-GNP
Phone: (336) 706-6614

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 600053 North Carolina

Profile Details

NPI number 1346636768
LBN Legal business name My Omni Housecalls, Inc
DBA Doing business as
Authorized official Hatchett, Mary Motley A-GNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2015
Last updated Oct 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346636768 NPPES
North Carolina MEDICAID 7000151

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