Provider Demographics
NPI:1659839207
Name:ALPHA CARE SERVICES, L.L.C
Entity Type:Organization
Organization Name:ALPHA CARE SERVICES, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:R. JUSTICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAIMAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-515-4874
Mailing Address - Street 1:7200 S 84TH ST
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2115
Mailing Address - Country:US
Mailing Address - Phone:402-515-4874
Mailing Address - Fax:
Practice Address - Street 1:7200 S 84TH ST
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-2115
Practice Address - Country:US
Practice Address - Phone:402-515-4874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-03
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency