NPIMap

Organization Active NPI

Alpha Omega Consulting, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Decatur, IL
National Provider Identifier
1295869121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0046979 Issued in IL
Legal business name
ALPHA OMEGA CONSULTING, INC.
Practice address
3850 E Fulton Ave
Decatur, IL 62521-5088
Phone
(217) 422-4884
Fax
(217) 422-4122
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Angela Cornell
Title
President
Phone
(217) 422-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0046979 IL Primary

Addresses

Primary practice location

3850 E Fulton Ave
Decatur, IL 62521-5088

Mailing address

3850 E Fulton Ave
Decatur, IL 62521-5088
Phone (217) 422-4884

Other names 1

  • Eastside Terrace Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alpha Omega Consulting Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3850 E Fulton Ave
Decatur, IL 62521
Phone (217) 422-4884

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295869121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 E FULTON AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215088",
            "telephone_number": "217-422-4884",
            "fax_number": "217-422-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E FULTON AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215088",
            "telephone_number": "217-422-4884",
            "fax_number": "217-422-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-422-4725",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0046979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.