Provider Demographics
NPI:1417039769
Name:ALLIED PRIMARY HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ALLIED PRIMARY HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIZZUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-682-5900
Mailing Address - Street 1:5411 JACKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1809
Mailing Address - Country:US
Mailing Address - Phone:210-682-5900
Mailing Address - Fax:210-521-3883
Practice Address - Street 1:5411 JACKWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1809
Practice Address - Country:US
Practice Address - Phone:210-682-5900
Practice Address - Fax:210-521-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005360251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health