OrganizationActive
Omni Family of Services North Carolina Inc.
NPI 1932277076 · Foster Care Agency · Statesville, NC
Provider details
- NPI number
- 1932277076
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brelyn Reed, Special Projects Coordinator(800) 851-8905
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Foster Care Agency253J00000X
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense SO 09985A (TN)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense NA (NC)
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Brookdale Dr
Statesville, NC 28677-4107
Phone: (704) 549-1014
Fax: (704) 924-6949
Street-level locationGet directions
Mailing address
301 S Perimeter Park Dr
Nashville, TN 37211-4143
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2024-07-18
- Certified
- 2024-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.