Provider Demographics
NPI:1669663464
Name:ALPHA HOME HEALTH AGENCY, CORP.
Entity Type:Organization
Organization Name:ALPHA HOME HEALTH AGENCY, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISSET
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-223-7543
Mailing Address - Street 1:2680 SW 137 AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6636
Mailing Address - Country:US
Mailing Address - Phone:305-223-7543
Mailing Address - Fax:305-223-7544
Practice Address - Street 1:2680 SW 137 AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6636
Practice Address - Country:US
Practice Address - Phone:305-223-7543
Practice Address - Fax:305-223-7544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992792251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health