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OMNI HOUSE BEHAVIORAL HEALTH SYSTEM
NPI 1104983568
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glen Burnie, MD

Active since January 03, 2007
1419 MADISON PARK DR, GLEN BURNIE, MD 21061(410) 768-2719 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omni House Behavioral Health System NPPES

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

OMNI HOUSE BEHAVIORAL HEALTH SYSTEM (NPI 1104983568) is a healthcare organization registered as a mental health (including community mental health center) in Glen Burnie, Maryland and active in the NPI registry since January 2007. The organization lists John Cuddy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104983568
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameOMNI HOUSE INC
Location Address1419 MADISON PARK DRGlen Burnie, MD 21061-5613
Mailing AddressPo Box 1270, 1419 Madison Park DrGlen Burnie, MD 21060-1270 · (410) 768-2719
Phone(410) 768-2719
Organization SubpartNo
Authorized OfficialJohn CuddyCfo · (410) 768-6777
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104983568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MD · 4233
1419 MADISON PARK DR, Glen Burnie, MD 21061
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Other Names 1

Doing Business AsOmni House Behavioral Health System

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIGH COPELAND LCSW
Counselor (Mental Health)
1419 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-2719
OMNI HOUSE,INC
Community Based Residential Treatment Facility, Mental Illness
1419 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-2719
WAY STATION, INC.
Community/Behavioral Health
1419 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-6777
MRS. KARA BETH IACOVELLA CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
1419 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-2719
MRS. STEPHANIE D SMACK LCSW-C
Social Worker (Clinical)
1419 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-2719
BETH ANNE BECHERER LCSW-C
Counselor (Mental Health)
1419 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-2719
MR. EDWARD COLUMBUS WHITFIELD SR. MSW
Social Worker (Clinical)
1419 MADISON PARK DR, GLEN BURNIE
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-2719
MRS. GENEVIEVE LAPORTE LCPC
Counselor (Mental Health)
1419 MADISON PARK DR
GLEN BURNIE, MD 21061
Anne Arundel County (410) 768-2719

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 Omni House Inc's NPI number?

The NPI number for Omni House Inc is 1104983568. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Omni House Behavioral Health System.

Where is Omni House Inc located?

Omni House Inc is located at 1419 Madison Park Dr, Glen Burnie, MD 21061. The listed phone number is (410) 768-2719.

What is Omni House Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Omni House Inc was last updated on August 22, 2020. 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.