Provider Demographics
NPI:1124364468
Name:AL HOME HEALTH CARE
Entity Type:Organization
Organization Name:AL HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:IARAH
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-777-3430
Mailing Address - Street 1:921 CROCKER ST
Mailing Address - Street 2:127
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1143
Mailing Address - Country:US
Mailing Address - Phone:515-777-3430
Mailing Address - Fax:515-777-3614
Practice Address - Street 1:921 CROCKER ST
Practice Address - Street 2:127
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1143
Practice Address - Country:US
Practice Address - Phone:515-777-3430
Practice Address - Fax:515-777-3614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health