ALPHA OMEGA ADULT HOME CARE LLC (NPI# 1104484856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104484856 |
| Entity Type | Organization |
| Organization Name | ALPHA OMEGA ADULT HOME CARE LLC |
| Practice Address |
3001 Bay Shore Ln Suffolk VA 23435-3175 |
| Practice Telephone | 7574382340 |
| Practice Fax Number | 7573903678 |
| Mailing Telephone | 7574382340 |
| Mailing Fax Number | 7573903678 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MAXINE E LONG (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7574382340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
3001 BAY SHORE LN |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640279 | Guardian Angels Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1116 Pin Oak Drive, Suffolk, VA 23434-2343 | 2020-08-20 |
| 1003377680 | Unlimited Choices LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 235 Forrest St, Suffolk, VA 23434-4710 | 2019-03-27 |
| 1134638422 | Wilson Home Health Service, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Truman Rd, Suffolk, VA 23434-3634 | 2017-09-29 |
| 1073069399 | Gertrude Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7566 Quaker Dr, Suffolk, VA 23437-8906 | 2016-08-28 |
| 1669558813 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 130 Suburban Dr, Suffolk, VA 23434-2625 | 2006-10-31 |
| 1275639270 | Better Care Family Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6836 Whaleyville Blvd, Suffolk, VA 23438-9737 | 2006-09-16 |
| 1386687549 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 404 Finney Ave, Suffolk, VA 23434-3852 | 2006-06-14 |
| 1922041177 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1406 Blythewood Ln, Suffolk, VA 23434-2804 | 2006-06-14 |
| 1275574402 | Western Tidewater Community Services Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 437 Jackson St, Suffolk, VA 23434-5314 | 2006-06-09 |
| 1083704316 | Warrington Investments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 424 S Main St, Suffolk, VA 23434-5428 | 2006-10-16 |
| Find all providers in SUFFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.