ALPHA & OMEGA SUPPORTED LIVING AGENCY, LLC (NPI# 1427514918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427514918 |
| Entity Type | Organization |
| Organization Name | ALPHA & OMEGA SUPPORTED LIVING AGENCY, LLC |
| Practice Address |
2236 S Hamilton Rd Ste 104 Columbus OH 43232-4381 |
| Practice Telephone | 6146268817 |
| Practice Fax Number | 6146940573 |
| Mailing Telephone | 6146268817 |
| Mailing Fax Number | 6146940573 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | MRS. MARIA VICTORIA LOPEZ (CEO) |
| Authorized Official Telephone | 6146268817 |
| Authorized Official Credential | BSBM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0326268 | 05 |
| Other Name | Type Code |
|---|---|
| Alpha & Omega Supported Living Agency, LLC | Doing Business As Name - Organization |
| Street Address |
2236 S HAMILTON RD STE 104 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232-4381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739119 | Evina Emvoutou | Community Health Worker | 2166 Riverdale Square, Columbus, OH 43232 | 2020-01-14 |
| 1538712484 | Dominic Nchamukong | Nurse Practitioner | 4646 Hilton Corporate Dr, Columbus, OH 43232 | 2019-07-19 |
| 1871058602 | Angelique Jackson | Registered Nurse | 2376 Carlford Street, Columbus, OH 43232 | 2019-02-06 |
| 1033693569 | Mount Carmel Behavioral Healthcare, LLC | Psychiatric Hospital | 4646 Hilton Corporate Drive, Columbus, OH 43232 | 2018-09-20 |
| 1720500523 | Annie D Jordan | Home Health Aide | 5049 Gunston Dr, Columbus, OH 43232 | 2017-07-13 |
| 1750755286 | Stephanie Baker | Community Health Worker | 6127 Roselawn Ave, Columbus, OH 43232 | 2015-11-20 |
| 1982076527 | Nicole Allen | Licensed Practical Nurse | 2067 Prestwick Drive, Columbus, OH 43232 | 2015-10-22 |
| 1508255357 | Andrea Tarr | Licensed Practical Nurse | 2492 Daily Rd, Columbus, OH 43232 | 2015-01-16 |
| 1205240694 | Alemsege Berhe | Licensed Practical Nurse | 1841 Riverdale Rd, Cplumbus, OH 43232 | 2014-06-13 |
| 1386987048 | Mikeyla Burrs | Licensed Practical Nurse | 1622 Noe Bixby Rd Apt C, Columbus, OH 43232 | 2013-04-01 |
| Find all providers in zip 43232 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184239774 | Jennifer Crayton | Day Training, Developmentally Disabled Services | 1989 Sharbot Dr, Columbus, OH 43229-5726 | 2020-09-10 |
| 1457962797 | Southeastern Support Care Services LLC | Day Training, Developmentally Disabled Services | 3523 Fuller St, Columbus, GA 31907-2554 | 2020-08-11 |
| 1659993517 | Audrey Lynn Susz | Day Training, Developmentally Disabled Services | 3022 Saint John Ct Apt 1, Columbus, OH 43202-1819 | 2020-05-14 |
| 1497308357 | Sunshine Adult Daycare and Transportation | Day Training, Developmentally Disabled Services | 5163 Sinclair Rd, Columbus, OH 43229-5413 | 2019-07-19 |
| 1700371911 | Central Ohio Life Care Center LLC | Day Training, Developmentally Disabled Services | 1150 Morse Rd Ste 110, Columbus, OH 43229-6327 | 2018-06-29 |
| 1922512920 | Joseph Robert Malone | Day Training, Developmentally Disabled Services | 4545 Collingwood Pointe Pl, Columbus, OH 43230-8446 | 2017-11-29 |
| 1285160713 | Arc Industries Inc of Franklin County Ohio | Day Training, Developmentally Disabled Services | 2300 Marilyn Ln, Columbus, OH 43219-1792 | 2017-05-03 |
| 1104350339 | Hmsb Group of Companies | Day Training, Developmentally Disabled Services | 4510 Dundee Ave, Columbus, OH 43227-2416 | 2017-04-14 |
| 1174068332 | Rena Hall | Day Training, Developmentally Disabled Services | 5211 Argonne Dr, Columbus, GA 31907-6702 | 2016-12-27 |
| 1235588450 | Pathways To Independence Central Oh | Day Training, Developmentally Disabled Services | 7020 Huntley Rd, Suite D, Columbus, OH 43229-1050 | 2016-06-08 |
| Find all providers in COLUMBUS | ||||
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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.