Provider Demographics
NPI:1700277324
Name:ALLIANCE HEALTH CARE MANAGEMENT INC
Entity Type:Organization
Organization Name:ALLIANCE HEALTH CARE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:I
Authorized Official - Last Name:BENITEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-577-0916
Mailing Address - Street 1:7241 SW 63RD AVE
Mailing Address - Street 2:SUITE 101A
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4838
Mailing Address - Country:US
Mailing Address - Phone:786-577-0916
Mailing Address - Fax:786-577-0936
Practice Address - Street 1:7241 SW 63RD AVE
Practice Address - Street 2:SUITE 101A
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4838
Practice Address - Country:US
Practice Address - Phone:786-577-0916
Practice Address - Fax:786-577-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty