Provider Demographics
NPI:1720867963
Name:ALPHA CREST ENTERPRISES
Entity Type:Organization
Organization Name:ALPHA CREST ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIBUISI
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:NNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-528-5537
Mailing Address - Street 1:916 CAPLIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-5604
Mailing Address - Country:US
Mailing Address - Phone:832-528-5537
Mailing Address - Fax:
Practice Address - Street 1:916 CAPLIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-5604
Practice Address - Country:US
Practice Address - Phone:832-528-5537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness