Alpha Omega Life Care, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

714589 Issued in AK

Legal business name

ALPHA OMEGA LIFE CARE, INC.

Practice address

2415 Rapids St.
Delta Junction, AK 99737-1009

Phone

(907) 895-4104

Fax

(907) 895-4143

NPI assigned

Jan 24, 2007

Organization subpart

No

Name

Mr. Kenneth Edward Farrow

Title

Executive Director

Phone

(907) 895-4104

Organizations that report the same tax identification number in the National Provider Directory.

• Alpha Omega Life Care, Inc.

  • Voluntary or Charitable Agency
  • Delta Junction, AK
  • NPI 1083829469
  NPD tax ID
• Alpha Omega Life Care, Inc.

  • Taxi
  • Delta Junction, AK
  • NPI 1417162769
  NPD tax ID
• Alpha Omega Life Care, Inc.

  • Voluntary or Charitable Agency
  • Delta Junction, AK
  • NPI 1447465695
  NPD tax ID
• Alpha Omega Life Care, Inc.

  • Case Management Agency
  • Delta Junction, AK
  • NPI 1508071853
  NPD tax ID
• Alpha Omega Life Care, Inc.

  • Voluntary or Charitable Agency
  • Delta Junction, AK
  • NPI 1962617225
  NPD tax ID
• Alpha Omega Life Care, Inc.

  • Respite Care
  • Delta Junction, AK
  • NPI 1982819231
  NPD tax ID

Tax ID family

Alpha Omega Life Care Inc (7 organizations share this tax ID)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003961715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "address_2": "2415 RAPIDS ST.",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997371009",
            "telephone_number": "907-895-4104",
            "fax_number": "907-895-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 RAPIDS ST.",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997371009",
            "telephone_number": "907-895-4104",
            "fax_number": "907-895-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA LIFE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-895-4104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AK",
            "license": "714589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM3228",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM7341",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TX2942",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM2943",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG942",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM2942",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMG294",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel O. Addo, PHARMD
• Alpha Omega Life Care, Inc.
• Alpha Omega Life Care, Inc.
• Alpha Omega Life Care, Inc.
• Alpha Omega Life Care, Inc.
• Alpha Omega Life Care, Inc.

• All providers in Delta Junction, AK
• Voluntary or Charitable Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.