Provider Demographics
NPI:1942870829
Name:ALLIANCE HOMECARE LLC
Entity Type:Organization
Organization Name:ALLIANCE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-719-6500
Mailing Address - Street 1:23229 NINE MACK DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1969
Mailing Address - Country:US
Mailing Address - Phone:313-719-6500
Mailing Address - Fax:586-777-5222
Practice Address - Street 1:23229 NINE MACK DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1969
Practice Address - Country:US
Practice Address - Phone:313-719-6500
Practice Address - Fax:586-777-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care