Provider Demographics
NPI:1194030627
Name:ALPHA MEDICAL HOME CARE INC
Entity Type:Organization
Organization Name:ALPHA MEDICAL HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:AL
Authorized Official - Last Name:ALCEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-925-3412
Mailing Address - Street 1:3009 MONTERREY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814
Mailing Address - Country:US
Mailing Address - Phone:225-925-3412
Mailing Address - Fax:225-925-3413
Practice Address - Street 1:3009 MONTERREY DR
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814
Practice Address - Country:US
Practice Address - Phone:225-925-3412
Practice Address - Fax:225-925-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15396253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care