Organization Active NPI

Alpha and Omega Community Services Inc

  • Community/Behavioral Health Agency
  • Dunn, NC
National Provider Identifier
1528201167
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALPHA AND OMEGA COMMUNITY SERVICES INC
Practice address
114 W Broad St
Dunn, NC 28334-4857
Phone
(910) 892-7416
NPI assigned
Apr 13, 2009
Last updated
Apr 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mrs. Rolisha A Cain
Title
Executive Director
Phone
(910) 824-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

114 W Broad St
Dunn, NC 28334-4857

Mailing address

PO Box 87416
Fayetteville, NC 28304-7416

Other identifiers 1

IdentifierTypeStateIssuer
MHL-043-076OtherNCDAY TREATMENT LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1528201167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87416",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W BROAD ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344857",
            "telephone_number": "910-892-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AND OMEGA COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "ROLISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-824-4480",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAY TREATMENT LICENSE",
            "identifier": "MHL-043-076",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.