Provider Demographics
NPI:1790807519
Name:ALLIANCE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ALLIANCE HEALTH SERVICES INC
Other - Org Name:ALLIANCE HOME CARE SERVICES - MISSISSIPPI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-516-1400
Mailing Address - Street 1:6400 SHELBY VIEW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134
Mailing Address - Country:US
Mailing Address - Phone:901-516-1800
Mailing Address - Fax:901-380-1840
Practice Address - Street 1:1890 GOODMAN RD E STE 200
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-9504
Practice Address - Country:US
Practice Address - Phone:901-516-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0770018Medicaid
TN0447086Medicaid
MS0770018Medicaid