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OMNI VISIONS INC. NPI 1013355957


NPI Information

NPI: 1013355957
Provider Name: OMNI VISIONS, INC.

Other Name: BRIGGS AFL

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
102 JEFFERSON ST
WILKESBORO, NC
ZIP 28697
Phone: (919) 334-0249
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OMNI VISIONS, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Wilkesboro, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. OMNI VISIONS, INC. NPI is 1013355957. The provider is registered as an organization entity type.
The provider Other Name Is Briggs Afl.

The provider's business location address is:

102 JEFFERSON ST
WILKESBORO, NC
ZIP 28697-502
Phone: (919) 334-0249

The provider's authorized official is Brelyn Waddell .
The authorized official title is Contracts Manager and has the following contact phone number (919) 334-0249.

The enumeration date for this NPI number is 6/13/2013 and was last updated on 6/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13408630MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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