Provider Demographics
NPI:1033780994
Name:ALPHA PALLIATIVE HEALTH SERVICES , LLC
Entity Type:Organization
Organization Name:ALPHA PALLIATIVE HEALTH SERVICES , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FILOMENO
Authorized Official - Middle Name:EBORA
Authorized Official - Last Name:ALCAIDE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:818-640-3257
Mailing Address - Street 1:3301 SPRING MOUNTAIN ROAD
Mailing Address - Street 2:11
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-226-7443
Mailing Address - Fax:702-537-8870
Practice Address - Street 1:3301 SPRING MOUNTAIN ROAD
Practice Address - Street 2:11
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-226-7443
Practice Address - Fax:702-537-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based