ALPHA TO OMEGA LIVING – NPI #1588246607
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

ALPHA TO OMEGA LIVING is a community based residential treatment facility located in SOUTH HOLLAND, IL. NPPES has assigned the NPI number 1588246607 to ALPHA TO OMEGA LIVING on April 27, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALPHA TO OMEGA LIVING below.

NPI Profile for
ALPHA TO OMEGA LIVING

NPI Number
1588246607
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALPHA TO OMEGA LIVING
Primary location
1885 169TH PL
SOUTH HOLLAND, IL 60473-4614
Phone: (773) 615-0999 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL JOHNSON
OWNER/CEO
Phone: (773) 615-0999
Updated
Certification Date
Apr 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.