Omeha House I Llc

LBN: Omeha House I Llc
Omeha House I Llc is an health care organization with primary practice located at 500 North St , Hannibal MO 63401-3333. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Omeha House I Llc can be contacted via phone (573) 221-9103, or through Ghattas, Omar Delbert via phone (573) 795-3614.

Contact Information

Primary practice address
500 North St Hannibal MO 63401-3333
Phone: (573) 221-9103
Fax: (573) 406-1091
Website:
Map and Directions
Authorized official contact:
Name: Ghattas, Omar Delbert
Phone: (573) 795-3614

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1083204507
LBN Legal business name Omeha House I Llc
DBA Doing business as
Authorized official Ghattas, Omar Delbert
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2021
Last updated Jan 19th, 2021 - about 4 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 1083204507 NPPES
Missouri MEDICAID M267857308

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