Provider Demographics
NPI:1235991837
Name:ALFA HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ALFA HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABUBAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-805-7328
Mailing Address - Street 1:700 BRYDEN RD STE 135
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-4839
Mailing Address - Country:US
Mailing Address - Phone:614-805-7328
Mailing Address - Fax:
Practice Address - Street 1:700 BRYDEN RD STE 135
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4839
Practice Address - Country:US
Practice Address - Phone:614-805-7328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health