Provider Demographics
NPI:1740243229
Name:ALLIANCE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ALLIANCE HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & COO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:BICKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-535-8200
Mailing Address - Street 1:6303 COWBOYS WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0329
Mailing Address - Country:US
Mailing Address - Phone:469-535-8200
Mailing Address - Fax:
Practice Address - Street 1:3870 FOOTHILLS RD
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4631
Practice Address - Country:US
Practice Address - Phone:575-556-8409
Practice Address - Fax:575-522-0089
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMBERCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-07
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM90657861Medicaid
NM55574335OtherPCO GALLUP
NM53703260Medicaid
NM96289007OtherPCO ABQ.
NM53703260Medicaid