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OMEGA INDEPENDENT LIVING SERVICES, INC.
NPI 1194893842
Community Based Residential Treatment Facility, Mental Illness in Raleigh, NC

Active since December 01, 2006
3029 STONY BROOK DR, SUITE 105, RALEIGH, NC 27604(919) 255-3268 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Omega Independent Living Services, Inc. NPPES

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

OMEGA INDEPENDENT LIVING SERVICES, INC. (NPI 1194893842) is a healthcare organization registered as a community based residential treatment facility, mental illness in Raleigh, North Carolina and active in the NPI registry since December 2006. The organization lists Donald K. Grantham, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1194893842
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameOMEGA INDEPENDENT LIVING SERVICES, INC.
Location Address3029 STONY BROOK DR, SUITE 105Raleigh, NC 27604-3790
Mailing Address3029 Stony Brook Dr, Suite 105Raleigh, NC 27604-3790 · (919) 255-3268
Phone(919) 255-3268
Organization SubpartNo
Authorized OfficialDonald K. GranthamDirector Of Operations · (919) 255-3268
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 23, 2008
✔ NPI 1194893842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
3029 STONY BROOK DR, Raleigh, NC 27604
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Other Identifiers 10

Medicaid6603948NC
Medicaid6603869NC
Medicaid6604281NC
Medicaid8300455GNC
Medicaid6603391NC
Medicaid6604054NC
Medicaid6603739NC
Medicaid6005361NC
Medicaid8300455BNC
Medicaid6604021NC

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 Omega Independent Living Services, Inc.'s NPI number?

The NPI number for Omega Independent Living Services, Inc. is 1194893842. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Omega Independent Living Services, Inc. located?

Omega Independent Living Services, Inc. is located at 3029 Stony Brook Dr Suite 105, Raleigh, NC 27604. The listed phone number is (919) 255-3268.

What is Omega Independent Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Omega Independent Living Services, Inc. was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.