OMNIS HEALTH LIFE, LLC
NPI 1154861557
Clinic/Center - Methadone in Baltimore, MD

Active since March 03, 2017CLIA 21D2135340 · Waiver
2200 GARRISON BLVD STE 100 200 300, BALTIMORE, MD 21216(667) 212-4187 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Nov 15, 2018, Apr 10, 2017 and 1 more (4 updates tracked since 2017).

About Omnis Health Life, Llc NPPES

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

OMNIS HEALTH LIFE, LLC (NPI 1154861557) is a healthcare organization registered as a methadone in Baltimore, Maryland and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Rachel Wilson, Chairwoman, as its authorized official.

NPPES Registry Identity

NPI1154861557
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameOMNIS HEALTH LIFE, LLC
Location Address2200 GARRISON BLVD STE 100 200 300Baltimore, MD 21216-2619
Mailing Address162 Ponte Vedra DrFayetteville, GA 30215-8040 · (678) 561-2823
Organization SubpartNo
Authorized OfficialRachel WilsonChairwoman · (678) 561-3037
Enumeration DateMarch 3, 2017
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1154861557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedSocial WorkerTaxonomy 104100000X
2200 GARRISON BLVD STE 100 200 300, Baltimore, MD 21216

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omnis Health Life, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Omnis Health Life, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Psychiatry
NPI 1760507925
1001 W PRATT ST
Baltimore, MD 21223
(410) 962-7190
✔ PECOS2.8 mi
Addiction Medicine
NPI 1578637294
6701 N CHARLES ST SUITE 4104
Towson, MD 21204
(410) 231-3323
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1417351255
6481 ABEL ST
Elkridge, MD 21075
(443) 848-9123
✔ PECOS8.1 mi
Nurse Practitioner
NPI 1336768787
5022 CAMPBELL BLVD STE L-M
Nottingham, MD 21236
(443) 442-1568
✔ PECOS✔ Accepts Medicare12 mi
Pain Management
NPI 1730303777
4000 MITCHELLVILLE RD SUITE B322
Bowie, MD 20716
(301) 860-0305
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1043721343
9 E LOOCKERMAN ST STE 204
Dover, DE 19901
(302) 666-9806
✔ PECOS62 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2135340

Omnis Health Life · Baltimore, MD
Active · expires Aug 20, 2027
CLIA Number21D2135340
Laboratory TypeIop, Ment Hlth Group
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorDr. Sarah A. Merritt
Laboratory Phone(667) 212-4187
Laboratory LocationOmnis Health Life2200 Garrison Boulevard, Baltimore, MD 21216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
412 services14 patients

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 Omnis Health Life, LLC's NPI number?

The NPI number for Omnis Health Life, LLC is 1154861557. It was assigned to this organization in the NPPES registry on March 3, 2017.

Where is Omnis Health Life, LLC located?

Omnis Health Life, LLC is located at 2200 Garrison Blvd Ste 100 200 300, Baltimore, MD 21216. The listed phone number is (667) 212-4187.

What is Omnis Health Life, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Is Omnis Health Life, LLC enrolled in Medicare?

Yes. Omnis Health Life, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omnis Health Life, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Omnis Health Life, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Addiction Medicine (1) and Pain Management (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Omnis Health Life, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2135340) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omnis Health Life, LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.