Provider Demographics
NPI:1720566227
Name:ALIF HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ALIF HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:AFSHEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-986-8977
Mailing Address - Street 1:2419 E ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-4400
Mailing Address - Country:US
Mailing Address - Phone:215-771-5157
Mailing Address - Fax:215-220-3561
Practice Address - Street 1:2419 E ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4400
Practice Address - Country:US
Practice Address - Phone:215-771-5157
Practice Address - Fax:215-220-3561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicaid