Provider Demographics
NPI:1710329750
Name:ALPHA & OMEGA HOME HEALTH
Entity Type:Organization
Organization Name:ALPHA & OMEGA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAYDENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:713-391-9927
Mailing Address - Street 1:12700 FM 1960 RD W APT 12207
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5451
Mailing Address - Country:US
Mailing Address - Phone:713-391-9927
Mailing Address - Fax:
Practice Address - Street 1:12700 FM 1960 RD W APT 12207
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5451
Practice Address - Country:US
Practice Address - Phone:713-391-9927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health