Provider Demographics
NPI:1760966451
Name:ALLEGIANT HOME CARE, LLC
Entity Type:Organization
Organization Name:ALLEGIANT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-781-0101
Mailing Address - Street 1:641 LEXINGTON AVE STE 622
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4579
Mailing Address - Country:US
Mailing Address - Phone:212-781-0101
Mailing Address - Fax:
Practice Address - Street 1:3100 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-1052
Practice Address - Country:US
Practice Address - Phone:631-476-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLEGIANT HOME CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health