Provider Demographics
NPI:1013363845
Name:ALLIANCE HOME HEALTH & HOSPICE LLC
Entity Type:Organization
Organization Name:ALLIANCE HOME HEALTH & HOSPICE LLC
Other - Org Name:ALLIANCE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACADEMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-491-9240
Mailing Address - Street 1:6717 MISSION ST
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2070
Mailing Address - Country:US
Mailing Address - Phone:650-438-4396
Mailing Address - Fax:
Practice Address - Street 1:6717 MISSION ST
Practice Address - Street 2:STE D
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2070
Practice Address - Country:US
Practice Address - Phone:650-438-4396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based