Provider Demographics
NPI:1366608028
Name:ALPHA HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ALPHA HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O/C.F.O
Authorized Official - Prefix:MR
Authorized Official - First Name:RENJI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-278-9588
Mailing Address - Street 1:PO BOX 495998
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75049-5998
Mailing Address - Country:US
Mailing Address - Phone:972-278-9588
Mailing Address - Fax:972-278-9203
Practice Address - Street 1:3256 SOUTHERN DR STE 462
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1533
Practice Address - Country:US
Practice Address - Phone:972-278-9588
Practice Address - Fax:972-278-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX381314901Medicaid