Provider Demographics
NPI:1609022235
Name:ALFA HEALTHCARE
Entity Type:Organization
Organization Name:ALFA HEALTHCARE
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLARIKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-778-2005
Mailing Address - Street 1:1112 S WASHINGTON ST STE 15
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7999
Mailing Address - Country:US
Mailing Address - Phone:630-778-2005
Mailing Address - Fax:630-778-2006
Practice Address - Street 1:1112 S WASHINGTON ST STE 15
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7999
Practice Address - Country:US
Practice Address - Phone:630-778-2005
Practice Address - Fax:630-778-2006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health