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OMEHA HOUSE I LLC
NPI 1083204507
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hannibal, MO

Active since January 19, 2021
500 NORTH ST, HANNIBAL, MO 63401(573) 221-9103(573) 406-1091 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omeha House I Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMEHA HOUSE I LLC (NPI 1083204507) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Hannibal, Missouri and active in the NPI registry since January 2021. The organization lists Omar Delbert Ghattas, Owner, as its authorized official.

NPPES Registry Identity

NPI1083204507
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameOMEHA HOUSE I LLC
Location Address500 NORTH STHannibal, MO 63401-3333
Mailing AddressPo Box 387Hannibal, MO 63401-0387 · (573) 795-3614
Phone(573) 221-9103
Fax(573) 406-1091
Organization SubpartNo
Authorized OfficialOmar Delbert GhattasOwner · (573) 795-3614
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
✔ NPI 1083204507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
500 NORTH ST, Hannibal, MO 63401
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Other Identifiers 1

MedicaidM267857308MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omeha House I LLC's NPI number?

The NPI number for Omeha House I LLC is 1083204507. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Omeha House I LLC located?

Omeha House I LLC is located at 500 North St, Hannibal, MO 63401. The listed phone number is (573) 221-9103.

What is Omeha House I LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Omeha House I LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.