Organization Active NPI

Omni Family of Services North Carolina Inc.

  • Foster Care Agency
  • Statesville, NC
National Provider Identifier
1932277076
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
OMNI FAMILY OF SERVICES NORTH CAROLINA INC.
Practice address
505 Brookdale Dr
Statesville, NC 28677-4107
Phone
(704) 549-1014
Fax
(704) 924-6949
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Brelyn Reed
Title
Special Projects Coordinator
Phone
(800) 851-8905

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X NC Primary
Foster Care Agency 253J00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SO 09985A TN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NA NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 50053 KY

Addresses

Primary practice location

505 Brookdale Dr
Statesville, NC 28677-4107

Mailing address

301 S Perimeter Park Dr
Suite 210
Nashville, TN 37211-4143
Phone (615) 726-3603

National Provider Directory

National Provider Directory
Tax ID family
Omni Visions Inc51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

505 Brookdale Dr
Statesville, NC 28677
Phone (704) 549-1014

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1932277076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PERIMETER PARK DR",
            "address_2": "SUITE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114143",
            "telephone_number": "615-726-3603",
            "fax_number": "615-726-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774107",
            "telephone_number": "704-549-1014",
            "fax_number": "704-924-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI FAMILY OF SERVICES NORTH CAROLINA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BRELYN",
        "authorized_official_title_or_position": "SPECIAL PROJECTS COORDINATOR",
        "authorized_official_telephone_number": "800-851-8905"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": "SO 09985A",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "NA",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "KY",
            "license": "50053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.