Provider Demographics
NPI:1407195100
Name:ALPHA HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ALPHA HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:DANQUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-426-6108
Mailing Address - Street 1:14527 JEFFERSON DAVIS HWY
Mailing Address - Street 2:201-V
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14527 JEFFERSON DAVIS HWY
Practice Address - Street 2:201-V
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2817
Practice Address - Country:US
Practice Address - Phone:571-426-6108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health