Provider Demographics
NPI:1316169907
Name:ALLIANCE HOME HEALTH, LLC
Entity type:Organization
Organization Name:ALLIANCE HOME HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO JOHN
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:PERALTA
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:602-682-6380
Mailing Address - Street 1:6040 N 7TH STREET
Mailing Address - Street 2:SUITE #205
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014
Mailing Address - Country:US
Mailing Address - Phone:602-682-6380
Mailing Address - Fax:602-682-6384
Practice Address - Street 1:6040 N 7TH STREET
Practice Address - Street 2:SUITE #205
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014
Practice Address - Country:US
Practice Address - Phone:602-682-6380
Practice Address - Fax:602-682-6384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA4151251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ037251Medicare Oscar/Certification