Active NPI
Alpha Omega Health Inc
- Community/Behavioral Health Agency
- Spruce Pine, NC
National Provider Identifier
1063558252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6004036 | Medicaid | NC | |
| 8301776G | Medicaid | NC | |
| 6106394 | Medicaid | NC | |
| 8301776B | Medicaid | NC | |
| 8301776A | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Spruce Pine, NC
- NPI 1255362869
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.