Omega Independent Living Services, Inc.

LBN: Omega Independent Living Services, Inc.
Omega Independent Living Services, Inc. is an health care organization with primary practice located at 2410 Piney Plains Rd , Cary NC 27518-6868. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Omega Independent Living Services, Inc. can be contacted via phone (919) 255-3268, or through Grantham, Donald K via phone (919) 255-3268.

Contact Information

Primary practice address
2410 Piney Plains Rd Cary NC 27518-6868
Fax:
Website:
Authorized official contact:
Name: Grantham, Donald K

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X MHL-092-702 North Carolina

Profile Details

NPI number 1659513653
LBN Legal business name Omega Independent Living Services, Inc.
DBA Doing business as
Authorized official Grantham, Donald K
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2009
Last updated Apr 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659513653 NPPES
North Carolina MEDICAID 6604281

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