Look up the most recent NPI and PECOS records

Alpha Omega Health, Inc

Community/Behavioral Health

Agencies

5950 Six Forks Rd, Raleigh, NC 27609-3895

PECOS Enrollment

Based on the most recent information from CMS, provider Alpha Omega Health, Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013034743
Provider Type
Organization
Full Name
Alpha Omega Health, Inc

Subpart
No
Enumeration Date
3/26/2007
Last Updated
3/30/2009

Contact Information

Practice Location

5950 Six Forks Rd, Raleigh, NC 27609-3895

(919) 844-1008

Unlisted Fax

Mailing Location

5950 Six Forks Rd, Raleigh, NC 27609-3895

(919) 844-1008

Unlisted Fax

Authorized Official

Horne, John (Ceo)

(919) 844-1008

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 251C00000X	Description Day Training, Developmentally Disabled Services Agencies	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 3408520	Description Medicaid	Issuer Unlisted North Carolina

Alpha Omega Health, Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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ID

Description

Issuer

ID

Description

Issuer

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