Provider Demographics
NPI:1689902975
Name:ALLY HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ALLY HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
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:513-226-7694
Mailing Address - Street 1:270 NORTHLAND BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-4911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:270 NORTHLAND BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-4911
Practice Address - Country:US
Practice Address - Phone:513-226-7694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health