Provider Demographics
NPI:1831975820
Name:ALPHABETA HOME CARE LLC
Entity type:Organization
Organization Name:ALPHABETA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:EZIUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-901-8508
Mailing Address - Street 1:5011 QUILL RUSH WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3688
Mailing Address - Country:US
Mailing Address - Phone:346-901-8508
Mailing Address - Fax:
Practice Address - Street 1:5011 QUILL RUSH WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3688
Practice Address - Country:US
Practice Address - Phone:346-901-8508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care