Organization
OMNIV HEALTH SYSTEMS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURTNEY ALLEN JACOBS I (MANAGING MEMBER/DIRECTOR)
(713) 732-4174
Entity
Organization
Contact information
Practice address
4141 SOUTHWEST FWY STE 515, HOUSTON, TX 77027
(713) 732-4174
(713) 960-1122
Mailing address
810 DAKOTA ST, SOUTH HOUSTON, TX 77587-3012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/15/2017
Last updated
02/09/2024
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