Provider Demographics
NPI:1396594115
Name:ALINA HOME CARE, LLC
Entity type:Organization
Organization Name:ALINA HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-984-5929
Mailing Address - Street 1:8114 WOODLAND AVE SE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-3966
Mailing Address - Country:US
Mailing Address - Phone:470-984-5929
Mailing Address - Fax:
Practice Address - Street 1:8114 WOODLAND AVE SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014-3966
Practice Address - Country:US
Practice Address - Phone:470-984-5929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPHCP013115OtherGEORGIA DCH HFRD