Provider Demographics
NPI:1619580826
Name:ALPHACARE HEALTH PROVIDERS INC.
Entity Type:Organization
Organization Name:ALPHACARE HEALTH PROVIDERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /DPCS
Authorized Official - Prefix:
Authorized Official - First Name:CHIMA
Authorized Official - Middle Name:N
Authorized Official - Last Name:EKEKEULU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-333-6300
Mailing Address - Street 1:12440 FIRESTONE BLVD STE 1024
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-4366
Mailing Address - Country:US
Mailing Address - Phone:562-333-6300
Mailing Address - Fax:
Practice Address - Street 1:12440 FIRESTONE BLVD STE 1024
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4366
Practice Address - Country:US
Practice Address - Phone:562-333-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health