Provider Demographics
NPI:1457417834
Name:ALPHA HEALTHCARE OF THE CAROLINAS,INC.
Entity Type:Organization
Organization Name:ALPHA HEALTHCARE OF THE CAROLINAS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:336-224-2600
Mailing Address - Street 1:21 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-3463
Mailing Address - Country:US
Mailing Address - Phone:336-224-2600
Mailing Address - Fax:336-224-2601
Practice Address - Street 1:21 W 2ND ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-3463
Practice Address - Country:US
Practice Address - Phone:336-224-2600
Practice Address - Fax:336-224-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2959251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601245Medicaid
NC7100553Medicaid
NC3408255Medicaid