Provider Demographics
NPI:1518206937
Name:ALFA HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ALFA HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAHILO
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-794-0021
Mailing Address - Street 1:2586 TILLER LN
Mailing Address - Street 2:STE #2F
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2265
Mailing Address - Country:US
Mailing Address - Phone:614-794-0021
Mailing Address - Fax:614-794-0022
Practice Address - Street 1:2586 TILLER LN
Practice Address - Street 2:STE #2F
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2265
Practice Address - Country:US
Practice Address - Phone:614-794-0021
Practice Address - Fax:614-794-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health