Organization Active NPI

Alpha-Omega Homecare and Services, LLC

  • Preferred Provider Organization
  • Jacksonville, FL
National Provider Identifier
1821878968
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ALPHA-OMEGA HOMECARE AND SERVICES, LLC
Practice address
6028 Chester Ave Ste 207
Jacksonville, FL 32217-2285
Phone
(904) 862-7390
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Kevia HartNPI 1093239915
Title
Owner
Phone
(904) 312-0318

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

6028 Chester Ave Ste 207
Jacksonville, FL 32217-2285

Mailing address

10149 Dogwood Creek Dr
Jacksonville, FL 32222-4122
Phone (904) 312-0318

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.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1821878968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10149 DOGWOOD CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322224122",
            "telephone_number": "904-312-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 CHESTER AVE STE 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172285",
            "telephone_number": "904-862-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA-OMEGA HOMECARE AND SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "KEVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-312-0318"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.