| Organization Name: | OMEGA HEALTH CARE OF NORTHWEST MISSOURI, INC. |
| NPI Number: | 1609028547 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSS L ROGERS (OWNER) |
| Mailing Address: | 3171 Ne Carnegie Dr Lees Summit |
| State: | MO US |
| Postal Code: | 640643215 |
| Phone Number: | 8162684130 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 12/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 00919007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |