Provider Demographics
NPI:1881109726
Name:ALPHA IN-HOME CARE, INC.
Entity type:Organization
Organization Name:ALPHA IN-HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZARICIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-853-2459
Mailing Address - Street 1:4001 W DEVON AVE STE 334
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4526
Mailing Address - Country:US
Mailing Address - Phone:312-543-5099
Mailing Address - Fax:773-930-3696
Practice Address - Street 1:4001 W DEVON AVE STE 334
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4526
Practice Address - Country:US
Practice Address - Phone:312-543-5099
Practice Address - Fax:773-930-3696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-13
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care