OMEGA INDEPENDENT LIVING SERVICES, INC.
NPI 1659513661
Community Based Residential Treatment Facility, Mental Illness in Raleigh, NC

Q: 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.

Active since April 06, 2009

4012 MACKINAC ISLAND LN, RALEIGH, NC 27610(919) 255-3268 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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 1659513661) 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 April 2009. The organization lists Donald K Grantham, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1659513661

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameOMEGA INDEPENDENT LIVING SERVICES, INC.

Location Address4012 MACKINAC ISLAND LNRaleigh, NC 27610-6258

Mailing Address3029 Stony Brook Drive, Suite 105Raleigh, NC 27604-3790 · (919) 255-3268

Phone(919) 255-3268

Organization SubpartNo

Authorized OfficialDonald K GranthamDirector Of Operations · (919) 255-3268

Enumeration DateApril 6, 2009

✔ NPI 1659513661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in NC · MHL-092-595

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

4012 MACKINAC ISLAND LN, Raleigh, NC 27610

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Other Identifiers 1

Medicaid6603739NC

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 1659513661. It was assigned to this organization in the NPPES registry on April 6, 2009.

Where is Omega Independent Living Services, Inc. located?

Omega Independent Living Services, Inc. is located at 4012 Mackinac Island Ln, Raleigh, NC 27610. 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 April 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.