Omega Group, LLC.

Primary specialty

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

Legal business name

OMEGA GROUP, LLC.

Practice address

1075 Glen Willow Dr
Virginia Beach, VA 23462-5216

Phone

(678) 777-3635

Fax

(678) 731-1552

NPI assigned

Jun 21, 2019

Organization subpart

No

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

Authorized official

Name

Keith Thompson

Title

Ceo

Phone

(678) 777-3635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1881255701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741207",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741319",
            "telephone_number": "678-777-3635",
            "fax_number": "678-731-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 GLEN WILLOW DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625216",
            "telephone_number": "678-777-3635",
            "fax_number": "678-731-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-777-3635"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique Oltra Esplugues, D.D.S.
• Oladayo O Oluwalola, LCSW
• Sanaa Lynesse Om, BEHAVIOR TECHNICIAN
• Lynn Omalley, NURSE PRACTITIONER
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• Oladoyin Marie Onawole
• Olusola Kendra Onayemi, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.