NPIMap

Organization Active NPI

Alpha and Omega Rehabilitation Services, Inc.

  • Home Health Agency
  • Kennesaw, GA
National Provider Identifier
1518245265
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PT007989 Issued in GA
Legal business name
ALPHA AND OMEGA REHABILITATION SERVICES, INC.
Practice address
2869 Amesbury PL NW
Kennesaw, GA 30144-7382
Phone
(404) 309-5200
Fax
(404) 591-8002
NPI assigned
Jul 29, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Mr. Melody A Woodard, P.T.NPI 1831477660
Title
President
Phone
(404) 309-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PT007989 GA Primary

Addresses

Primary practice location

2869 Amesbury PL NW
Kennesaw, GA 30144-7382

Mailing address

PO Box 250
Kennesaw, GA 30156-0250
Phone (404) 309-5200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1518245265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301560250",
            "telephone_number": "404-309-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 AMESBURY PL NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447382",
            "telephone_number": "404-309-5200",
            "fax_number": "404-591-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AND OMEGA REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-309-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "PT007989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.