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1023154218

NPI Code Detail

MEDICARE: ALPHA OMEGA HEALTH INC

MEDICARE: ALPHA OMEGA HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023154218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA OMEGA HEALTH INC

Provider Business Mailing Address
First Line	:	5950 SIX FORKS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-3895
Country	:	US
Telephone Number	:	919-844-1008
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 BLUE RIDGE LN
Second Line	:
City	:	BURNSVILLE
State	:	NC
Zip	:	28714-7270
Country	:	US
Telephone Number	:	828-682-2111
Fax Number	:

Authorized Official
Title or Position	:	CEO PRESIDENT
Name	:	MR. JOHN K HORNE
Credential	:
Telephone Number	:	919-844-1008

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	03/30/2009

Similar Medicare Providers

1952363079 — MS. JULIE BIDDIX HARRISON RN
Practice Location Address:

72 BLUE RIDGE LN
BURNSVILLE, NC
28714-7270

Practice Phone: 828-682-2111
Practice Fax: 828-682-9323

1437196797 — KARIN P ROLETT LCSW
Practice Location Address:

72 BLUE RIDGE LN
BURNSVILLE, NC
28714-7270

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Practice Fax: 828-649-2367

1346279205 — MS. TERESA DREW EMORY LCSW
Practice Location Address:

10 NORTH MAIN STREET
BURNSVILLE, NC
28714-7270

Practice Phone: 828-284-2287
Practice Fax: 828-682-2119

1972526580 — ROBERT MCKINLEY STAFFORD III LPC
Practice Location Address:

72 BLUE RIDGE LN
BURNSVILLE, NC
28714-7270

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Practice Fax: 828-682-7630

1336241959 — THOMAS W DUVALL JR. LCSW
Practice Location Address:

72 BLUE RIDGE LN
BURNSVILLE, NC
28714-7270

Practice Phone: 828-682-2111
Practice Fax: 828-682-9323

1205913399 — JILL SUSAN REED LMSW
Practice Location Address:

72 BLUE RIDGE LN
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28714-7270

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Practice Fax:

Directions to “ALPHA OMEGA HEALTH INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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