Alpha & Omega Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALPHA & OMEGA HEALTHCARE LLC

Practice address

611 Oriole Blvd
#602
Duncanville, TX 75116-3556

Phone

(217) 727-9486

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Gloria Jean Harvey

Title

Owner

Phone

(214) 727-9486

Specialties & licenses 1

Addresses

Other names 1

• Gloria Jean Harvey Former legal business name

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1689091654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ORIOLE BLVD",
            "address_2": "#602",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163556",
            "telephone_number": "217-727-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ORIOLE BLVD",
            "address_2": "#602",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163556",
            "telephone_number": "217-727-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-727-9486",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloria Jean Harvey",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.