OrganizationAlpha Omega Health, IncCommunity/Behavioral HealthAgenciesPractice Address5950 Six Forks Rd, Raleigh, NC 27609-3895(919) 844-1008PECOS EnrollmentBased on the most recent information from CMS, provider Alpha Omega Health, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366569386Provider TypeOrganizationFull NameAlpha Omega Health, IncSubpartNoEnumeration Date3/23/2007Last Updated12/29/2009Contact InformationPractice LocationPractice Address5950 Six Forks Rd, Raleigh, NC 27609-3895Phone(919) 844-1008Fax(919) 844-0042Mailing LocationMailing Address5950 Six Forks Rd, Raleigh, NC 27609-3895Phone(919) 844-1008Fax(919) 844-0042Authorized OfficialNameHorne, John (Ceo)Phone(919) 844-1008Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode251C00000XDescriptionDay Training, Developmentally Disabled ServicesAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8300405GDescriptionMedicaidIssuerUnlistedNorth CarolinaID8300405BDescriptionMedicaidIssuerUnlistedNorth Carolina