Provider Demographics
NPI:1922022532
Name:ALLEGIANCE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ALLEGIANCE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIEBING
Authorized Official - Middle Name:
Authorized Official - Last Name:GUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-281-8600
Mailing Address - Street 1:801 S GARFIELD AVE
Mailing Address - Street 2:SUITE 238
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4483
Mailing Address - Country:US
Mailing Address - Phone:626-281-8600
Mailing Address - Fax:626-281-8006
Practice Address - Street 1:801 S GARFIELD AVE
Practice Address - Street 2:SUITE 238
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4483
Practice Address - Country:US
Practice Address - Phone:626-281-8600
Practice Address - Fax:626-281-8006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001481251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08253FMedicaid
CAHHA08253FMedicaid