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OMNI FAMILY OF SERVICES NORTH CAROLINA INC.
NPI 1144398280
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Statesville, NC

Active since November 30, 2006
505 BROOKDALE DR, STATESVILLE, NC 28677(704) 549-1014 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Omni Family Of Services North Carolina Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI FAMILY OF SERVICES NORTH CAROLINA INC. (NPI 1144398280) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Statesville, North Carolina and active in the NPI registry since November 2006. The organization maintains a secondary practice location in North Wilkesboro and lists Brelyn Reed, Special Projects Coordinator, as its authorized official.

NPPES Registry Identity

NPI1144398280
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameOMNI FAMILY OF SERVICES NORTH CAROLINA INC.
Location Address505 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address301 S Perimeter Park Dr, Suite 210Nashville, TN 37211-4143 · (615) 726-3603 · Fax (615) 726-3632
Phone(704) 549-1014
Organization SubpartNo
Authorized OfficialBrelyn ReedSpecial Projects Coordinator · (800) 851-8905
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1144398280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Licenses✔ Licensed in NC · NA✔ Licensed in TN · SO 09985A✔ Licensed in KY · 500533
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
505 BROOKDALE DR, Statesville, NC 28677
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Secondary Practice Location 1

Location 1910 C St, Suite 8North Wilkesboro, NC 28659-4145 · Phone (336) 838-2412 · Fax (336) 667-5773

Other Identifiers 1

Medicaid3408630NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS HAND & REHAB SPECIALISTS LIMITED PARTNERSHIP
Durable Medical Equipment & Medical Supplies
505 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 872-1472
THOMAS HAND AND REHABILITATION SPECIALISTS LP
Clinic/Center (Physical Therapy)
505 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 872-1472
OMNI FAMILY OF SERVICES NORTH CAROLINA INC.
Foster Care Agency
505 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 549-1014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Family Of Services North Carolina Inc.'s NPI number?

The NPI number for Omni Family Of Services North Carolina Inc. is 1144398280. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Omni Family Of Services North Carolina Inc. located?

Omni Family Of Services North Carolina Inc. is located at 505 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 549-1014.

What is Omni Family Of Services North Carolina Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Omni Family Of Services North Carolina Inc. was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.