Organization Active NPI

Alpha Omega Health Management Services, LLC

  • Health Service Clinic/Center
  • Nederland, TX
National Provider Identifier
1720850506
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ALPHA OMEGA HEALTH MANAGEMENT SERVICES, LLC
Practice address
1413 S Highway 69 Ste 11
Nederland, TX 77627-7842
Phone
(409) 234-8480
Fax
(409) 234-8482
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Deloris Brannon, APRNNPI 1497399463
Title
Coo/Director
Phone
(409) 234-8482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1413 S Highway 69 Ste 11
Nederland, TX 77627-7842

Mailing address

1413 S Highway 69 Ste 11
Nederland, TX 77627-7842
Phone (409) 234-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104000039 TX Part B Supplier - Clinic/Group Practice 9234662925 Receives reassigned benefits from 1 practitioner
Practice locations: Nederland, TX

National Provider Directory

National Provider Directory

Locations

1413 S Highway 69
Ste 11
Nederland, TX 77627
Phone (409) 234-8480

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1720850506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S HIGHWAY 69 STE 11",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277842",
            "telephone_number": "409-234-8480",
            "fax_number": "409-234-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S HIGHWAY 69 STE 11",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277842",
            "telephone_number": "409-234-8480",
            "fax_number": "409-234-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA HEALTH MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_title_or_position": "COO/DIRECTOR",
        "authorized_official_telephone_number": "409-234-8482",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.