Provider Demographics
NPI:1235897679
Name:ALPHA HOME HEALTH INC
Entity Type:Organization
Organization Name:ALPHA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:O
Authorized Official - Last Name:ENEOLI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:628-221-4002
Mailing Address - Street 1:800 SHADY POINT DR APT 181
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-7209
Mailing Address - Country:US
Mailing Address - Phone:682-221-4002
Mailing Address - Fax:
Practice Address - Street 1:800 SHADY POINT DR APT 181
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-7209
Practice Address - Country:US
Practice Address - Phone:682-221-4002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty