Provider Demographics
NPI:1194894873
Name:ALPHA & OMEGA HOME CARE SERVICES INC.
Entity type:Organization
Organization Name:ALPHA & OMEGA HOME CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:919-266-7440
Mailing Address - Street 1:121 CANDLEWICK DR
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-8975
Mailing Address - Country:US
Mailing Address - Phone:919-266-7440
Mailing Address - Fax:919-266-9422
Practice Address - Street 1:121 CANDLEWICK DR
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-8975
Practice Address - Country:US
Practice Address - Phone:919-266-7440
Practice Address - Fax:919-266-9422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health