Organization Active NPI

Alpha Omega Health, Inc

  • Community/Behavioral Health Agency
  • Henderson, NC
National Provider Identifier
1841317864
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALPHA OMEGA HEALTH, INC
Practice address
946 W Andrews Ave Ste U
Henderson, NC 27536-2500
Phone
(252) 436-0483
NPI assigned
Mar 23, 2007
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
John K Horne
Title
Ceo
Phone
(919) 844-1008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Foster Care Agency 253J00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

946 W Andrews Ave Ste U
Henderson, NC 27536-2500

Mailing address

5950 Six Forks Rd
Raleigh, NC 27609-3895
Phone (919) 844-1008

Other identifiers 2

IdentifierTypeStateIssuer
8300687GMedicaidNC
8300687BMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Alpha Omega Health Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

946 W Andrews Ave
Ste U
Henderson, NC 27536
Phone (252) 436-0483

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1841317864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093895",
            "telephone_number": "919-844-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 W ANDREWS AVE STE U",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362500",
            "telephone_number": "252-436-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-844-1008"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300687G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300687B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.