Provider Demographics
NPI:1295179992
Name:ALLIANCE HEALTHCARE PARTNERS LLC
Entity Type:Organization
Organization Name:ALLIANCE HEALTHCARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:HALE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-231-8103
Mailing Address - Street 1:3360 E LIVINGSTON AVE
Mailing Address - Street 2:STE 1A, 1B
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-1925
Mailing Address - Country:US
Mailing Address - Phone:614-231-8103
Mailing Address - Fax:614-231-8108
Practice Address - Street 1:3360 E LIVINGSTON AVE
Practice Address - Street 2:STE 1A, 1B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-1925
Practice Address - Country:US
Practice Address - Phone:614-231-8103
Practice Address - Fax:614-231-8108
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE HEALTHCARE PARTNERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3090766251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3090766Medicaid
OH3090766Medicaid