Provider Demographics
NPI:1689784167
Name:ALCOMED HOMEHEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ALCOMED HOMEHEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BA
Authorized Official - Phone:972-442-5443
Mailing Address - Street 1:9330 AMBERTON PKWY
Mailing Address - Street 2:STE. 2220
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3278
Mailing Address - Country:US
Mailing Address - Phone:972-442-5443
Mailing Address - Fax:214-570-8335
Practice Address - Street 1:9330 AMBERTON PKWY
Practice Address - Street 2:STE. 2220
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3278
Practice Address - Country:US
Practice Address - Phone:972-442-5443
Practice Address - Fax:214-570-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012090251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457990Medicare Oscar/Certification