Active NPI
Omni Visions, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Boone, NC
National Provider Identifier
1114366960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- OMNI VISIONS, INC.
- Practice address
- 127 Evening Shade Dr
Boone, NC 28607-8627 - Phone
- (919) 334-0249
- NPI assigned
- Jun 14, 2013
- Last updated
- Jun 14, 2013
- 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
- Brelyn Waddell
- Title
- Contracts Manager
- Phone
- (919) 334-0249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NC | Primary |
Addresses
Primary practice location
127 Evening Shade Dr
Boone, NC 28607-8627
Mailing address
301 S Perimeter Park Dr
Ste 210
Nashville, TN 37211-4143
Phone (615) 726-3603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408630 | Medicaid | NC |
Other names 1
- Hodges Valley home
National Provider Directory
National Provider Directory- Tax ID family
- Omni Visions Inc
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Statesville, NC
- NPI 1144398280
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Ronda, NC
- NPI 1093153843
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- North Wilkesboro, NC
- NPI 1235207374
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Wilkesboro, NC
- NPI 1013355957
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Raleigh, NC
- NPI 1053750828
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Knightdale, NC
- NPI 1083053847
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Henderson, NC
- NPI 1104265453
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Selma, NC
- NPI 1124467980
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Magnolia, NC
- NPI 1164861936
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- North Wilkesboro, NC
- NPI 1184063687
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Butner, NC
- NPI 1215376082
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- North Wilkesboro, NC
- NPI 1235578915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371168000000",
"number": "1114366960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S PERIMETER PARK DR",
"address_2": "STE 210",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372114143",
"telephone_number": "615-726-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 EVENING SHADE DR",
"city": "BOONE",
"state": "NC",
"postal_code": "286078627",
"telephone_number": "919-334-0249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI VISIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A",
"authorized_official_last_name": "WADDELL",
"authorized_official_first_name": "BRELYN",
"authorized_official_title_or_position": "CONTRACTS MANAGER",
"authorized_official_telephone_number": "919-334-0249"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408630",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hodges Valley home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.