Organization Active NPI

Alpha Omega Health Inc

  • Community/Behavioral Health Agency
  • Spruce Pine, NC
National Provider Identifier
1063558252
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALPHA OMEGA HEALTH INC
Practice address
284 Hospital Dr
Spruce Pine, NC 28777-8944
Phone
(828) 765-8808
Fax
(828) 765-8650
NPI assigned
Jan 29, 2007
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Mr. John K Horne Jr.
Title
Ceo President
Phone
(919) 844-1008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

284 Hospital Dr
Spruce Pine, NC 28777-8944

Mailing address

5950 Six Forks Rd
Raleigh, NC 27609-3895
Phone (919) 844-1008

Other identifiers 5

IdentifierTypeStateIssuer
6004036MedicaidNC
8301776GMedicaidNC
6106394MedicaidNC
8301776BMedicaidNC
8301776AMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1063558252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093895",
            "telephone_number": "919-844-1008",
            "fax_number": "919-844-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287778944",
            "telephone_number": "828-765-8808",
            "fax_number": "828-765-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "919-844-1008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004036",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301776G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106394",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301776B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301776A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.