Omni Youth Services-Bg Dasa

LBN: Omni Youth Services
Omni Youth Services-Bg Dasa is an health care organization with primary practice located at 1111 W Lake Cook Rd , Buffalo Grove IL 60089-1926. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Omni Youth Services can be contacted via phone (847) 353-1500, or through Mccarthy, Doryce via phone (847) 353-1500.

Contact Information

Primary practice address
1111 W Lake Cook Rd Buffalo Grove IL 60089-1926
Phone: (847) 353-1500
Fax: (847) 465-1964
Website:
Map and Directions
Authorized official contact:
Name: Mccarthy, Doryce
Phone: (847) 353-1500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1043665896
LBN Legal business name Omni Youth Services
DBA Doing business as Omni Youth Services-Bg Dasa
Authorized official Mccarthy, Doryce
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 29th, 2016
Last updated Apr 23rd, 2021 - about 5 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 1043665896 NPPES
Illinois Other 08005 DASA

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