Provider Demographics
NPI:1699198549
Name:ALEXANDERA HEALTHCARE INC.
Entity Type:Organization
Organization Name:ALEXANDERA HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARTINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-861-7444
Mailing Address - Street 1:3800 INVERRARY BLVD
Mailing Address - Street 2:SUITE 401-0
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4382
Mailing Address - Country:US
Mailing Address - Phone:954-861-7444
Mailing Address - Fax:877-606-6339
Practice Address - Street 1:3800 INVERRARY BLVD
Practice Address - Street 2:SUITE 401-0
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4382
Practice Address - Country:US
Practice Address - Phone:954-861-7444
Practice Address - Fax:877-606-6339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL9999999251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health