Organization · NPI-2

Omni House INC

Community Based Residential Treatment Facility, Mental Illness · Glen Burnie, MD

NPI number1942367222
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1942367222
Entity type
Organization (NPI-2)
Legal business name
Omni House INC
Organization subpart
No
Enumeration date
Jan 3, 2007
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness17446MDYes
251S00000X Community/Behavioral Health17445MD

Practice location

1421 Madison Park Dr
Glen Burnie, MD 21061-5613

Phone 410-768-6777

Mailing address

Po Box 1270
1421 Madison Park Dr
Glen Burnie, MD 21060-1270

Phone 410-768-6777

Authorized official

John Cuddy
Cfo
4107686777

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