Alpha & Omega Home Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906143 Issued in FL

Legal business name

ALPHA & OMEGA HOME CARE

Practice address

3024 Toulon Rd SE
Palm Bay, FL 32909-7664

Phone

(321) 722-9442

Fax

(321) 722-9442

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Medelon

Title

Administrator

Phone

(321) 722-9442

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1053589739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 TOULON RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329097664",
            "telephone_number": "321-722-9442",
            "fax_number": "321-722-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 TOULON RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329097664",
            "telephone_number": "321-722-9442",
            "fax_number": "321-722-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MEDELON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "321-722-9442"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corina Allen
• Mica Allen, OTD, OTR/L
• Randolph Edward Allen Jr.
• Leidy Almira
• Alna
• Kristine Ambrosino, BAS, MPA, MSW, LCSW
• Monica Jean Amelunge, PSR
• Amicus Physician Services, Inc.
• Atm N Amin, BDS
• Anchor FL Opco LLC (Anchor Care & Rehabilitation Center)

• Adult Care Home Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.