Organization Active NPI

Alpha&Omega Home Agency

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1881724193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3102 Issued in NC
Legal business name
ALPHA&OMEGA HOME AGENCY
Practice address
1001 S Marshall St
Box 52
Winston Salem, NC 27101-5852
Phone
(336) 724-4701
Fax
(336) 724-4702
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dirah Jones Martin
Title
Agency Director
Phone
(336) 724-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3102 NC Primary

Addresses

Primary practice location

1001 S Marshall St
Box 52
Winston Salem, NC 27101-5852

Mailing address

1001 S Marshall St
Box 52
Winston Salem, NC 27101-5852
Phone (336) 724-4701

Other identifiers 2

IdentifierTypeStateIssuer
6601332MedicaidNC
3408597MedicaidNC

National Provider Directory

National Provider Directory

Locations

1001 S Marshall St
Ste 52
Winston Salem, NC 27101
Phone (336) 577-5904

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881724193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST",
            "address_2": "BOX 52",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015852",
            "telephone_number": "336-724-4701",
            "fax_number": "336-724-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST",
            "address_2": "BOX 52",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015852",
            "telephone_number": "336-724-4701",
            "fax_number": "336-724-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA&OMEGA HOME AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DIRAH",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "336-724-4701",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601332",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.