ALPHA & OMEGA HOME CARE NPI 1053589739

NPI Information

  • NPI: 1053589739
  • Provider Name: ALPHA & OMEGA HOME CARE
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 3024 TOULON RD SE
    PALM BAY, FL
    ZIP 32909
  • Phone: (321) 722-9442

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NPI Details

ALPHA & OMEGA HOME CARE is an adult care home custodial care facility in Palm Bay, FL. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ALPHA & OMEGA HOME CARE NPI is 1053589739. The provider is registered as an organization entity type.

The provider's business location address is:

3024 TOULON RD SE
PALM BAY, FL
ZIP 32909-664
Phone: (321) 722-9442
Fax: (321) 722-9442

The provider's authorized official is Marie Medelon .
The authorized official title is Administrator and has the following contact phone number (321) 722-9442.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 2/14/2008.

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
1311ZA0620XCustodial Care FacilityAdult Care Home6906143FLORIDAYes

What is NPI?

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This page was last updated on: 11/21/2025

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