Alpha & Omega Home/Healthcare Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ALPHA & OMEGA HOME/HEALTHCARE SERVICES, INC.

Practice address

401 W Old Hickory Blvd
Madison, TN 37115-3609

Phone

(615) 578-4167

NPI assigned

Mar 3, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dewayne Holt

Title

Co-Owner

Phone

(615) 578-4167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1801256755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W OLD HICKORY BLVD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W OLD HICKORY BLVD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153609",
            "telephone_number": "615-578-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA HOME/HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "615-578-4167"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Lynn Allen
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• Anna Anderson, RN, BSN, CCRN
• Billie Jean Anderson, MA, LPE

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Madison, TN
• Providers in Madison, TN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.