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: August 23, 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

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

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
2200 GARRISON BLVD STE 100 200 300
BALTIMORE, MD 21216
Counselor (Mental Health)
2200 GARRISON BLVD STE 100 200 300
BALTIMORE, MD 21216

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.

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 11 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.