Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omega Independent Living Services, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1659513661

Omega Independent Living Services, Inc is a Mental Illness Community Based Residential Treatment Facility in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4012 Mackinac Island Ln
Raleigh, NC 27610-6258
Phone: (919) 255-3268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence MHL-092-595 (NC)

Record details

NPI number1659513661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Grantham — Director Of Operations · (919) 255-3268
NPI enumeratedApril 6, 2009
Last updated in NPPESApril 6, 2009
Mailing address3029 Stony Brook Drive, Suite 105, Raleigh, NC 27604-3790

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