Provider Demographics
NPI:1184764144
Name:ALPHA HOME HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:ALPHA HOME HEALTHCARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:JOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-899-6330
Mailing Address - Street 1:43050 FORD RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3359
Mailing Address - Country:US
Mailing Address - Phone:888-899-6330
Mailing Address - Fax:734-404-0304
Practice Address - Street 1:43050 FORD RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3359
Practice Address - Country:US
Practice Address - Phone:888-899-6330
Practice Address - Fax:734-404-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237625Medicare ID - Type UnspecifiedPROVIDER NUMBER
MI237625Medicare Oscar/Certification