Provider Demographics
NPI:1154836732
Name:ALLEGIANT HOME CARE, LLC
Entity Type:Organization
Organization Name:ALLEGIANT HOME CARE, LLC
Other - Org Name:ACCORDCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-781-0101
Mailing Address - Street 1:1165 NORTHCHASE PKWY SE STE 250
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-6432
Mailing Address - Country:US
Mailing Address - Phone:770-421-0191
Mailing Address - Fax:
Practice Address - Street 1:190 MOORE ST STE 400
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7418
Practice Address - Country:US
Practice Address - Phone:201-968-5085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health