Active NPI
Alpha Omega Health
- Community/Behavioral Health Agency
- Marshall, NC
National Provider Identifier
1154467348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALPHA OMEGA HEALTH
- Practice address
- 140 Health Care LN
Marshall, NC 28753-6350 - Phone
- (828) 649-2367
- Fax
- (828) 649-3859
- NPI assigned
- Jan 29, 2007
- 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 | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
140 Health Care LN
Marshall, NC 28753-6350
Mailing address
5950 Six Forks Rd
Raleigh, NC 27609-3895
Phone (919) 844-1008
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301778G | Medicaid | NC | |
| 6005983 | Medicaid | NC | |
| 1301778B | Medicaid | NC | |
| 8301778G | Medicaid | NC | |
| 6106597 | Medicaid | NC | |
| 6004036 | Medicaid | NC | |
| 6106394 | Medicaid | NC | |
| 6103932 | Medicaid | NC | |
| 6111927 | Medicaid | NC | |
| 8301778A | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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": "1262044800000",
"number": "1154467348",
"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": "140 HEALTH CARE LN",
"city": "MARSHALL",
"state": "NC",
"postal_code": "287536350",
"telephone_number": "828-649-2367",
"fax_number": "828-649-3859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA OMEGA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2009-12-29",
"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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301778G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005983",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301778B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301778G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106597",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6004036",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106394",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103932",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6111927",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301778A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.