Provider Demographics
NPI:1578907770
Name:ALPHA HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ALPHA HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:B
Authorized Official - Last Name:ELKADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-319-6016
Mailing Address - Street 1:1304 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2435
Mailing Address - Country:US
Mailing Address - Phone:850-319-6016
Mailing Address - Fax:850-785-0409
Practice Address - Street 1:1304 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2435
Practice Address - Country:US
Practice Address - Phone:850-319-6016
Practice Address - Fax:850-785-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies