OMEGA SUPPORTED LIVING SERVICES (NPI# 1851660781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851660781 |
| Entity Type | Organization |
| Organization Name | OMEGA SUPPORTED LIVING SERVICES |
| Practice Address |
404 Westwood St Mobile AL 36606-6504 |
| Practice Telephone | 2282176329 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | LESLIE SMITH (CEO) |
| Authorized Official Telephone | 2282176329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
404 WESTWOOD ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285141267 | Peters Comfort Livin, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2300 Bennett Dr, Mobile, AL 36618-1538 | 2017-12-29 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1952582181 | Burrowes Group Community & Economic Development, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1610 Roach St, Mobile, AL 36617-1819 | 2007-11-15 |
| 1306982673 | Volunteers of America | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Azalea Rd, Mobile, AL 36609-1528 | 2007-01-30 |
| 1609977503 | New Way Out, Corp. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Oak Circle Dr E, Mobile, AL 36609-4222 | 2006-09-26 |
| 1063910552 | Meadows Place Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3220 Meadow Ln, Mobile, AL 36618-4638 | 2018-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019313 | Arc of Dekalb County | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 201 Grand Ave Sw, Fort Payne, AL 35967-1917 | 2020-10-08 |
| 1477103976 | Pamela Francene Battiste | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 432 Gilbert St, Prichard, AL 36610-4452 | 2019-09-17 |
| 1336700707 | Lana D Brown | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1354 Forrest Ave, Gadsden, AL 35901-3437 | 2019-06-26 |
| 1053770180 | Just As Family Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3018 15th Street Rd, Hueytown, AL 35023-3616 | 2016-02-17 |
| 1780049874 | Lifecare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 S Shelton Beach Rd, Eight Mile, AL 36613-3426 | 2015-12-16 |
| 1346629508 | Adept Plus, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Clinton Ave W Ste 25, Huntsville, AL 35801-5530 | 2015-05-21 |
| 1386087138 | Rainbow Omega, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 101 Horizon Dr, Eastaboga, AL 36260-7310 | 2013-04-11 |
| 1841537636 | K & D Group Home, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1702 Dianne St Sw, Decatur, AL 35601-4750 | 2013-01-14 |
| 1124397963 | Blackwell Foster Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 743 County Road 18, Fyffe, AL 35971-3907 | 2011-12-23 |
| 1417230269 | T & N Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 34953 Al Hwy 75, Fyffe, AL 35971 | 2011-09-27 |
| Find all providers with the same taxonomy | ||||
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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.