Provider Demographics
NPI:1659754547
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:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU BOACHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-494-6313
Mailing Address - Street 1:1489 BALTIMORE PIKE STE 202
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3968
Mailing Address - Country:US
Mailing Address - Phone:484-494-6313
Mailing Address - Fax:484-494-6924
Practice Address - Street 1:1489 BALTIMORE PIKE STE 202
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3968
Practice Address - Country:US
Practice Address - Phone:484-494-6313
Practice Address - Fax:484-494-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05940501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health