Provider Demographics
NPI:1356137178
Name:ALPHACARE SUPPORT COORDINATION, LLC
Entity type:Organization
Organization Name:ALPHACARE SUPPORT COORDINATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANDELL
Authorized Official - Middle Name:
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-731-3100
Mailing Address - Street 1:160 CLAIREMONT AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030
Mailing Address - Country:US
Mailing Address - Phone:404-548-8405
Mailing Address - Fax:504-910-6883
Practice Address - Street 1:160 CLAIREMONT AVE
Practice Address - Street 2:STE 200
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030
Practice Address - Country:US
Practice Address - Phone:404-548-8405
Practice Address - Fax:504-910-6883
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPHACARE SUPPORT COORDINATION, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care