Alpha Omega Health, Inc.
Organization Active NPI Community/Behavioral Health Agency · Wilmington, NC
NPI 1154460111 · NPPES record last updated Sep 15, 2009
Key facts
- NPI
- 1154460111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ALPHA OMEGA HEALTH, INC.
- Practice address
- 4875 New Centre Dr
Wilmington, NC 28403-1619 - Phone
- (910) 792-9889
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. John Kenneth Horne
- Title
- President
- Phone
- (919) 844-1008
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Alpha Omega Health Inc
Locations
4875 New Centre Dr
Wilmington, NC 28403
Phone (910) 792-9889
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
4875 New Centre Dr
Wilmington, NC 28403-1619
Mailing address
5950 Six Forks Rd
Raleigh, NC 27609-3895
Phone (919) 844-1008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408520 | Medicaid | NC | |
| 5906390 | Medicaid | NC | |
| 8300422 | Medicaid | NC |
Other providers in Wilmington, NC
- Michael Allred Jr.
- Michael Lindsay Allred
- Alexandria Almond
- Laurel Almonte
- Noa Alper
- Amy Meeks Alphin
- Cierra Alsobrooks
- Eymani Alston
- Lindsey Costner Alston
- Alternatives Behavioral Health
All providers in Wilmington, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.