Provider Demographics
NPI:1427243070
Name:ALPHA HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ALPHA HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:NERISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:219-923-7977
Mailing Address - Street 1:9006 CLINE AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2204
Mailing Address - Country:US
Mailing Address - Phone:219-923-7977
Mailing Address - Fax:219-923-7980
Practice Address - Street 1:9006 CLINE AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2204
Practice Address - Country:US
Practice Address - Phone:219-923-7977
Practice Address - Fax:219-923-7980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health