OrganizationActive
Omni House Inc
NPI 1104983568 · Mental Health Clinic/Center (Including Community Mental Health Center) · Glen Burnie, MD
Provider details
- NPI number
- 1104983568
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Cuddy, Cfo(410) 768-6777
- License
- 4233 (MD)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 4233 (MD)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1419 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone: (410) 768-2719
Street-level locationGet directions
Mailing address
Po Box 1270
Glen Burnie, MD 21060-1270
Other names (DBA / former)
- Doing business as
- Omni House Behavioral Health System
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.