Provider Demographics
NPI:1508041468
Name:OUR ALPHA HEALTHCARE SERVICES INC DBA ALPHAHEALTHCARE SERVICES
Entity Type:Organization
Organization Name:OUR ALPHA HEALTHCARE SERVICES INC DBA ALPHAHEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BOLANLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUSTAPHA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:214-213-5464
Mailing Address - Street 1:1111 W ARKANSAS LN STE B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6376
Mailing Address - Country:US
Mailing Address - Phone:817-467-7955
Mailing Address - Fax:817-467-7055
Practice Address - Street 1:1111 W ARKANSAS LN STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6376
Practice Address - Country:US
Practice Address - Phone:817-467-7955
Practice Address - Fax:817-467-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001015950OtherPHC/ PAS/ CAS CONTRACTS
TX001001297, 001001296OtherCBA, PHC CONTRACTS