Provider Demographics
NPI:1619334372
Name:ALLIANCE HOME CARE, LLC
Entity Type:Organization
Organization Name:ALLIANCE HOME CARE, LLC
Other - Org Name:ALLIANCE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:RAMIN
Authorized Official - Last Name:YADGARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-314-7675
Mailing Address - Street 1:49 SPRUCE ST STE 948
Mailing Address - Street 2:
Mailing Address - City:LANGLEY AFB
Mailing Address - State:VA
Mailing Address - Zip Code:23665-2855
Mailing Address - Country:US
Mailing Address - Phone:571-314-7675
Mailing Address - Fax:
Practice Address - Street 1:8436 CHAUCER HOUSE CT
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-5009
Practice Address - Country:US
Practice Address - Phone:571-314-7675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care