Provider Demographics
NPI:1013305077
Name:ALOMEGA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ALOMEGA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALVERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-704-6252
Mailing Address - Street 1:PO BOX 11304
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-8962
Mailing Address - Country:US
Mailing Address - Phone:979-704-6252
Mailing Address - Fax:979-704-6254
Practice Address - Street 1:4064 STATE HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8962
Practice Address - Country:US
Practice Address - Phone:979-704-6252
Practice Address - Fax:979-704-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health