NPIMap

Organization Active NPI

Omni Visions, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Henderson, NC
National Provider Identifier
1942648381
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
OMNI VISIONS, INC.
Practice address
1303 N Pinkston St
Henderson, NC 27536-4470
Phone
(919) 334-0249
NPI assigned
Jun 7, 2013
Last updated
Jun 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Brelyn Waddell
Title
Contracts Manager
Phone
(919) 334-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NC Primary

Addresses

Primary practice location

1303 N Pinkston St
Henderson, NC 27536-4470

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3408630MedicaidNC

Other names 1

  • Davis AFL Other name

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 15

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

View all 15

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1942648381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PERIMETER PARK DR",
            "address_2": "STE 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": "1303 N PINKSTON ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364470",
            "telephone_number": "919-334-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI VISIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "BRELYN",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "919-334-0249"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408630",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis AFL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 7, 2013; 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.