Provider Demographics
NPI:1952163792
Name:ALERT AGENCY LLC
Entity Type:Organization
Organization Name:ALERT AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YOHANNES
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAILEMARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-352-0470
Mailing Address - Street 1:20631 E 48TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7480
Mailing Address - Country:US
Mailing Address - Phone:720-352-0470
Mailing Address - Fax:
Practice Address - Street 1:20631 E 48TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7480
Practice Address - Country:US
Practice Address - Phone:720-352-0470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care