Provider Demographics
NPI:1770986168
Name:HOME HEALTH ALLIANCE INC.
Entity type:Organization
Organization Name:HOME HEALTH ALLIANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:408-263-7102
Mailing Address - Street 1:1 N MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4324
Mailing Address - Country:US
Mailing Address - Phone:408-263-7102
Mailing Address - Fax:
Practice Address - Street 1:1 N MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4324
Practice Address - Country:US
Practice Address - Phone:408-263-7102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME HEALTH ALLIANCE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-K098Medicaid
CA05-K098Medicaid