MEDICARE: ALPHA OMEGA HOSPICE LP

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	251G00000X	Community Based Hospice Care Agency	009222	TX

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

General Provider Information

NPI Number	:	1972611143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA OMEGA HOSPICE LP

Provider Business Mailing Address
First Line	:	500 FAULCONER DR STE 200
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22903-5089
Country	:	US
Telephone Number	:	434-977-9711
Fax Number	:	434-235-4142

Provider Business Practice Location Address
First Line	:	941 HILLTOP DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5845
Country	:	US
Telephone Number	:	817-238-0770
Fax Number	:	817-238-0786

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	JESSE R MOORE
Credential	:
Telephone Number	:	857-331-6271

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	05/12/2025

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Directions to “ALPHA OMEGA HOSPICE LP ” Practice Location

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