Organization
ALPHA OMEGA HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K HORNE JR. (CEO/PRESIDENT)
(919) 844-1008
Entity
Organization
Contact information
Practice address
129 SKYVIEW CIR, SPRUCE PINE, NC 28777-9518
(828) 765-0037
(828) 765-0039
Mailing address
5950 SIX FORKS RD, RALEIGH, NC 27609-3895
(919) 844-1008
(919) 844-0042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C001296
NC
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335034A
MEDICARE GROUP
NC
01
—
286723B
MEDICARE - JOE
NC
05
—
6004036
—
NC
05
—
6005869
—
NC
05
—
6106394
—
NC
05
—
8300751B
—
NC
05
—
8300751G
—
NC
Enumeration date
05/12/2006
Last updated
12/29/2009
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