OMEGA INDEPENDENT LIVING SERVICES INC. NPI 1255573259

NPI Information

NPI: 1255573259
Provider Name: OMEGA INDEPENDENT LIVING SERVICES, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
8619 TANGLETREE DR
LINDEN, NC
ZIP 28356
Phone: (919) 255-3268
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OMEGA INDEPENDENT LIVING SERVICES, INC. is a community based residential treatment facility mental illness in Linden, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. OMEGA INDEPENDENT LIVING SERVICES, INC. NPI is 1255573259. The provider is registered as an organization entity type.

The provider's business location address is:

8619 TANGLETREE DR
LINDEN, NC
ZIP 28356-528
Phone: (919) 255-3268

The provider's authorized official is Donald K Grantham .
The authorized official title is Director Of Operations and has the following contact phone number (919) 255-3268.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 4/6/2009.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		MHL-026-739	NORTH CAROLINA	Yes

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
1	6603948	MEDICAID	NORTH 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

NPI Synchronization or Removal

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