Organization
OMEGA INDEPENDENT LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD K. GRANTHAM (DIRECTOR OF OPERATIONS)
(919) 255-3268
Entity
Organization
Contact information
Practice address
3029 STONY BROOK DR, SUITE 105, RALEIGH, NC 27604-3790
(919) 255-3268
Mailing address
3029 STONY BROOK DR, SUITE 105, RALEIGH, NC 27604-3790
(919) 255-3268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005361
—
NC
05
—
6603391
—
NC
05
—
6603739
—
NC
05
—
6603869
—
NC
05
—
6603948
—
NC
05
—
6604021
—
NC
05
—
6604054
—
NC
05
—
6604281
—
NC
05
—
8300455B
—
NC
05
—
8300455G
—
NC
Enumeration date
12/01/2006
Last updated
06/23/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us