Provider Demographics
NPI:1528094794
Name:ALPHA-LINKS HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:ALPHA-LINKS HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DARE
Authorized Official - Last Name:FAGBOHUN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,DNP, MLS, FNP-C
Authorized Official - Phone:281-948-8342
Mailing Address - Street 1:12808 WEST AIRPORT BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6191
Mailing Address - Country:US
Mailing Address - Phone:281-948-8342
Mailing Address - Fax:281-879-1362
Practice Address - Street 1:12808 WEST AIRPORT BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6191
Practice Address - Country:US
Practice Address - Phone:281-948-8342
Practice Address - Fax:281-879-1362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1950982Medicaid