Provider Demographics
NPI:1740572304
Name:ALFA HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ALFA HOME HEALTHCARE LLC
Other - Org Name:ALFA HOME HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAQSOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-982-7420
Mailing Address - Street 1:1793 BLOOMINGDALE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-3800
Mailing Address - Country:US
Mailing Address - Phone:630-982-7420
Mailing Address - Fax:630-682-1603
Practice Address - Street 1:1793 BLOOMINGDALE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-3800
Practice Address - Country:US
Practice Address - Phone:630-982-7420
Practice Address - Fax:630-682-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health