Provider Demographics
NPI:1346526092
Name:ALPHA HEALTHCARE AND NURSING CORP.
Entity Type:Organization
Organization Name:ALPHA HEALTHCARE AND NURSING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOLARINWA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-365-2590
Mailing Address - Street 1:1310 BEDFORD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3701
Mailing Address - Country:US
Mailing Address - Phone:410-484-3193
Mailing Address - Fax:410-484-3194
Practice Address - Street 1:1310 BEDFORD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3701
Practice Address - Country:US
Practice Address - Phone:410-484-3193
Practice Address - Fax:410-484-3194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3030251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health