NPIMap

Organization Active NPI

Alpha Omega Life Care, Inc.

  • Respite Care
  • Delta Junction, AK
National Provider Identifier
1982819231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
714589 Issued in AK
Legal business name
ALPHA OMEGA LIFE CARE, INC.
Practice address
2415 Rapids St
Box 1009
Delta Junction, AK 99737-1009
Phone
(907) 895-4104
Fax
(907) 895-4143
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Kenneth Edward Farrow
Title
Executive Director
Phone
(907) 895-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 714589 AK Primary

Addresses

Primary practice location

2415 Rapids St
Box 1009
Delta Junction, AK 99737-1009

Mailing address

PO Box 1009
2415 Rapids St.
Delta Junction, AK 99737-1009
Phone (907) 895-4104

Other identifiers 1

IdentifierTypeStateIssuer
HC2942MedicaidAK

Other names 1

  • Kenneth E Farrow Other name

National Provider Directory

National Provider Directory
Tax ID family
Alpha Omega Life Care Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982819231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "address_2": "2415 RAPIDS ST.",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997371009",
            "telephone_number": "907-895-4104",
            "fax_number": "907-895-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 RAPIDS ST",
            "address_2": "BOX 1009",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997371009",
            "telephone_number": "907-895-4104",
            "fax_number": "907-895-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA LIFE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-895-4104"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AK",
            "license": "714589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC2942",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth E Farrow",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delta Junction, AK

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.