Provider Demographics
NPI:1982190419
Name:ALEXANDER HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ALEXANDER HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-682-2632
Mailing Address - Street 1:8010 S COUNTY ROAD 5 UNIT 101
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80528-9004
Mailing Address - Country:US
Mailing Address - Phone:970-682-2632
Mailing Address - Fax:888-977-1842
Practice Address - Street 1:8010 S COUNTY ROAD 5 UNIT 101
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80528-9004
Practice Address - Country:US
Practice Address - Phone:970-682-2632
Practice Address - Fax:888-977-1842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04N649253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care