Provider Demographics
NPI:1780841700
Name:ALLIANCE HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:ALLIANCE HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-329-8288
Mailing Address - Street 1:20 MARY CLARK DRIVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841
Mailing Address - Country:US
Mailing Address - Phone:603-329-8288
Mailing Address - Fax:603-329-8244
Practice Address - Street 1:20 MARY CLARK DRIVE
Practice Address - Street 2:SUITE 7
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841
Practice Address - Country:US
Practice Address - Phone:603-329-8288
Practice Address - Fax:603-329-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02996251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
30593794OtherNH MEDICAID PROVIDER ID