Provider Demographics
NPI:1639430382
Name:ALLY HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ALLY HOME HEALTHCARE, LLC
Other - Org Name:HEALING TOUCH HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-610-5555
Mailing Address - Street 1:627 S. EDWIN C.MOSES BLVD
Mailing Address - Street 2:EAST PLAZA, SUITE G1
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417
Mailing Address - Country:US
Mailing Address - Phone:937-610-5555
Mailing Address - Fax:
Practice Address - Street 1:627 S. EDWIN C.MOSES BLVD
Practice Address - Street 2:EAST PLAZA, SUITE G1
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417
Practice Address - Country:US
Practice Address - Phone:937-610-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3105437Medicaid