Provider Demographics
NPI:1225510514
Name:ALLICARE LLC
Entity Type:Organization
Organization Name:ALLICARE LLC
Other - Org Name:HOMEWELL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VAISHALI
Authorized Official - Middle Name:
Authorized Official - Last Name:NILESHWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-721-5536
Mailing Address - Street 1:11104 W AIRPORT BLVD STE 148
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3040
Mailing Address - Country:US
Mailing Address - Phone:281-788-4800
Mailing Address - Fax:
Practice Address - Street 1:11104 W AIRPORT BLVD STE 148
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3040
Practice Address - Country:US
Practice Address - Phone:281-788-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty