Omega Investments Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL049003NC Issued in NC

Legal business name

OMEGA INVESTMENTS INC

Practice address

1372 Eufola Rd
Statesville, NC 28677

Phone

(704) 528-4568

Fax

(704) 528-9844

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nick E Nikouyeh, ADMINISTRATOR

Title

Administator

Phone

(336) 209-4000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Heritage Place Adult Living Center Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1225197239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 N EMILY CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-869-7907",
            "fax_number": "336-869-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 EUFOLA RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-528-4568",
            "fax_number": "704-528-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "NIKOUYEH",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "336-209-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-049-003",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL049003NC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780216",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Place Adult Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Olin
• Buckley Olsen
• Eugene K Olsen, DDS
• Raymond Vladimir Olsen, MD
• Gergana Olszewski, PA-C
• Omni Family of Services North Carolina Inc.
• Omni Family of Services North Carolina Inc.
• Open Arms Therapy & Home Solutions LLC
• Optimed Hospitalists
• Orbie E Ottey Jr DDS Professional Corporation

• Assisted Living Facility in Statesville, NC
• Providers in Statesville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.