Omni Family Of Services North Carolina INC.
Foster Care Agency in Statesville, NC. Organization (NPI-2).
NPI number1932277076
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1932277076
- Entity type
- Organization (NPI-2)
- Legal business name
- Omni Family Of Services North Carolina INC.
- Organization subpart
- No
- Enumeration date
- Nov 30, 2006
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | NC | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253J00000X | Foster Care Agency | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | SO 09985A | TN | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | NA | NC | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 50053 | KY |
Practice location
505 Brookdale DrStatesville, NC 28677-4107
Phone 704-549-1014 · Fax 704-924-6949
Mailing address
301 S Perimeter Park DrSuite 210
Nashville, TN 37211-4143
Phone 615-726-3603 · Fax 615-726-3632
Authorized official
Brelyn Reed
Special Projects Coordinator
8008518905
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