Provider Demographics
NPI:1396213369
Name:ALLIANCE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ALLIANCE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:B
Authorized Official - Last Name:DIVINAGRACIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:201-993-9344
Mailing Address - Street 1:701 STATE RTE 440
Mailing Address - Street 2:HUDSON MALL STE33
Mailing Address - City:JERSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 STATE RTE 440
Practice Address - Street 2:HUDSON MALL STE33
Practice Address - City:JERSEY
Practice Address - State:NJ
Practice Address - Zip Code:07304-1208
Practice Address - Country:US
Practice Address - Phone:201-993-9344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty