Provider Demographics
NPI:1265028617
Name:ALPHA SOLUTIONS HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ALPHA SOLUTIONS HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:E
Authorized Official - Last Name:IMANLIHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-818-9164
Mailing Address - Street 1:6209 N ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1401
Mailing Address - Country:US
Mailing Address - Phone:773-818-9164
Mailing Address - Fax:773-961-8306
Practice Address - Street 1:5875 N LINCOLN AVE STE 131
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4614
Practice Address - Country:US
Practice Address - Phone:773-818-9164
Practice Address - Fax:773-961-8306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health