Provider Demographics
NPI:1104679810
Name:TOWNE ALLIANCE HOME HEALTH LLC
Entity type:Organization
Organization Name:TOWNE ALLIANCE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:TOWNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-496-3231
Mailing Address - Street 1:8605 SANTA MONICA BLVD PMB 891241
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4109
Mailing Address - Country:US
Mailing Address - Phone:424-379-6704
Mailing Address - Fax:
Practice Address - Street 1:2463 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-7629
Practice Address - Country:US
Practice Address - Phone:424-379-6704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health