Provider Demographics
NPI:1184376238
Name:ALPHA HERITAGE CARE HOMES LLC
Entity type:Organization
Organization Name:ALPHA HERITAGE CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIBUNDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-529-2762
Mailing Address - Street 1:22410 AUBURN CANYON LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5641
Mailing Address - Country:US
Mailing Address - Phone:346-529-2762
Mailing Address - Fax:
Practice Address - Street 1:22410 AUBURN CANYON LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5641
Practice Address - Country:US
Practice Address - Phone:346-529-2762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home