Omega Assistant Living Facility

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

AL11174 Issued in FL

Legal business name

OMEGA ASSISTANT LIVING FACILITY

Practice address

1209 NW 35TH PL
Cape Coral, FL 33993-9408

Phone

(239) 282-2122

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Doreen Thompson

Title

Owner

Phone

(239) 282-2122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1316383474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 NW 35TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339939408",
            "telephone_number": "239-282-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 NW 35TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339939408",
            "telephone_number": "239-282-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA ASSISTANT LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-282-2122",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "AL11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.