Provider Demographics
NPI:1437687134
Name:ALPHA HEALTH RESOURCE, LLC
Entity Type:Organization
Organization Name:ALPHA HEALTH RESOURCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TIONGSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-674-7558
Mailing Address - Street 1:4563 KING EDWARD CT
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-5709
Mailing Address - Country:US
Mailing Address - Phone:703-978-8700
Mailing Address - Fax:703-978-8701
Practice Address - Street 1:4563 KING EDWARD CT
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-5709
Practice Address - Country:US
Practice Address - Phone:703-978-8700
Practice Address - Fax:703-978-8701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPHA HEALTH RESOURCE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO17867251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health