Provider Demographics
NPI:1194045344
Name:ALPHA HOME CARE, LLC
Entity Type:Organization
Organization Name:ALPHA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PHD
Authorized Official - Phone:248-650-7992
Mailing Address - Street 1:1050 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1877
Mailing Address - Country:US
Mailing Address - Phone:248-650-7992
Mailing Address - Fax:248-650-7993
Practice Address - Street 1:1050 W UNIVERSITY DR
Practice Address - Street 2:SUITE 1
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1877
Practice Address - Country:US
Practice Address - Phone:248-650-7992
Practice Address - Fax:248-650-7993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health