Provider Demographics
NPI:1942979240
Name:ALLY-CARE HEALTH LLC
Entity Type:Organization
Organization Name:ALLY-CARE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:DR
Authorized Official - First Name:ALERO
Authorized Official - Middle Name:MIRANDA
Authorized Official - Last Name:HANS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:832-245-6481
Mailing Address - Street 1:8214 ALANNAH LAGOON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7302
Mailing Address - Country:US
Mailing Address - Phone:832-245-6481
Mailing Address - Fax:
Practice Address - Street 1:8214 ALANNAH LAGOON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7302
Practice Address - Country:US
Practice Address - Phone:832-245-6481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health