NPIMap

Organization Active NPI

Alpha Omega Health Inc

  • Clinical Social Worker
  • Burnsville, NC
National Provider Identifier
1417003203
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALPHA OMEGA HEALTH INC
Practice address
511 E Main St
Suite 3
Burnsville, NC 28714-3022
Phone
(828) 678-9544
Fax
(828) 682-4889
NPI assigned
Jan 26, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mr. John K Horne
Title
Ceo President
Phone
(919) 844-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

511 E Main St
Suite 3
Burnsville, NC 28714-3022

Mailing address

5950 Six Forks Rd
Raleigh, NC 27609-3895
Phone (919) 844-1008

Other identifiers 10

IdentifierTypeStateIssuer
6111757MedicaidNC
8301296BMedicaidNC
6005868MedicaidNC
8301296AMedicaidNC
8301296GMedicaidNC
286723COtherNCMEDICARE - JOE
6004036MedicaidNC
8301296QMedicaidNC
61006394MedicaidNC
2335034AOtherNCMEDICARE GROUP

National Provider Directory

National Provider Directory
Tax ID family
Alpha Omega Health Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1417003203",
    "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": "511 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287143022",
            "telephone_number": "828-678-9544",
            "fax_number": "828-682-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-12-05",
        "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."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111757",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301296B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005868",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301296A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301296G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - JOE",
            "identifier": "286723C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004036",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301296Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61006394",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "2335034A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.