Provider Demographics
NPI:1386763639
Name:ALLIANCE HUMAN SERVICES, INC.
Entity type:Organization
Organization Name:ALLIANCE HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIGI
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMALDI-EVANGELISTA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:310-792-8920
Mailing Address - Street 1:9166 ANAHEIM PL STE 225
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8567
Mailing Address - Country:US
Mailing Address - Phone:909-476-1185
Mailing Address - Fax:909-476-1195
Practice Address - Street 1:818 N MOUNTAIN AVE STE 206
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4165
Practice Address - Country:US
Practice Address - Phone:909-476-1185
Practice Address - Fax:909-476-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Not Answered251K00000XAgenciesPublic Health or Welfare
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherFEDERAL ID