Provider Demographics
NPI:1578905618
Name:ALLIANCE HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:ALLIANCE HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-323-0841
Mailing Address - Street 1:5701 SHINGLE CREEK PKWY
Mailing Address - Street 2:SUITE 631
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2467
Mailing Address - Country:US
Mailing Address - Phone:612-323-0841
Mailing Address - Fax:763-999-5124
Practice Address - Street 1:5701 SHINGLE CREEK PKWY
Practice Address - Street 2:SUITE 631
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2467
Practice Address - Country:US
Practice Address - Phone:612-323-0841
Practice Address - Fax:763-999-5124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNHE-01084-04 (10/00)163W00000X, 251J00000X
MNHE-01084-04 (10/00164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty