Provider Demographics
NPI:1093403784
Name:A.L.I.V.E. HOME CARE CORP
Entity Type:Organization
Organization Name:A.L.I.V.E. HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TREVA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-852-4424
Mailing Address - Street 1:2839 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2566
Mailing Address - Country:US
Mailing Address - Phone:443-852-4424
Mailing Address - Fax:910-922-3957
Practice Address - Street 1:2839 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2566
Practice Address - Country:US
Practice Address - Phone:443-852-4424
Practice Address - Fax:410-922-3957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health