Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Omega Independent Living Services, Inc.

Mental Illness Community Based Residential Treatment Facility in Raleigh, NC · enumerated 2006 · authorized official Donald Grantham, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194893842

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Omega Independent Living Services, Inc.

Practice address 3029 Stony Brook Dr, Suite 105, Raleigh, NC, 27604

Phone (919) 255-3268

Enumeration date Dec 1, 2006

Last updated in NPPES Jun 23, 2008

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Secondary

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Donald Grantham

Title Director of Operations

Phone (919) 255-3268

Other identifiers

Identifier	Type	State	Issuer
6005361	Medicaid	NC	-
6603739	Medicaid	NC	-
6604281	Medicaid	NC	-
8300455G	Medicaid	NC	-
6603869	Medicaid	NC	-
6604054	Medicaid	NC	-
8300455B	Medicaid	NC	-
6604021	Medicaid	NC	-
6603391	Medicaid	NC	-
6603948	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Omega Independent Living Services, Inc. located?

The practice location on file with NPPES is in Raleigh, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-23.