Provider Demographics
NPI:1740243229
Name:ALLIANCE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ALLIANCE HOME HEALTH CARE, LLC
Other - Org Name:AMBERCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP CHIEF STRATEGY OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DARBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-296-3591
Mailing Address - Street 1:2300 WARRENVILLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1717
Mailing Address - Country:US
Mailing Address - Phone:630-296-3530
Mailing Address - Fax:
Practice Address - Street 1:215 W 3RD ST
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-4623
Practice Address - Country:US
Practice Address - Phone:505-884-4080
Practice Address - Fax:505-944-0094
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMBERCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-07
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3162251E00000X
251G00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM90657861Medicaid
NM55574335OtherPCO GALLUP
NM53703260Medicaid
NM96289007OtherPCO ABQ.
NM53703260Medicaid