Provider Demographics
NPI:1194010538
Name:ALPHA AND OMEGA HOME CARE INC
Entity Type:Organization
Organization Name:ALPHA AND OMEGA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:816-728-3989
Mailing Address - Street 1:308 E 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3418
Mailing Address - Country:US
Mailing Address - Phone:816-659-7741
Mailing Address - Fax:866-535-5330
Practice Address - Street 1:308 E 21ST AVE
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3418
Practice Address - Country:US
Practice Address - Phone:816-659-7741
Practice Address - Fax:866-535-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care