OMEGA GROUP LLC NPI 1174209860

NPI Information

  • NPI: 1174209860
  • Provider Name: OMEGA GROUP LLC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 301 S MCDOWELL ST STE 125
    CHARLOTTE, NC
    ZIP 28204
  • Phone: (443) 822-4357

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NPI Details

OMEGA GROUP LLC is a residential treatment facility, intellectual and/or developmental disabilities in Charlotte, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. OMEGA GROUP LLC NPI is 1174209860. The provider is registered as an organization entity type.

The provider's business location address is:

301 S MCDOWELL ST STE 125
CHARLOTTE, NC
ZIP 28204-031
Phone: (443) 822-4357

The provider's authorized official is Corie D Johnson .
The authorized official title is Partner / Founder and has the following contact phone number (443) 822-4357.

The enumeration date for this NPI number is 6/26/2023 and was last updated on 6/26/2023.

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
1251S00000XCommunity/Behavioral HealthNo
2323P00000XPsychiatric Residential Treatment FacilityNo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 11/21/2025

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