Provider Demographics
NPI:1528335627
Name:ALIGNMENT HEALTH, LLC
Entity type:Organization
Organization Name:ALIGNMENT HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:D
Authorized Official - Last Name:GROVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-432-7093
Mailing Address - Street 1:330 S DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3808
Mailing Address - Country:US
Mailing Address - Phone:985-858-2992
Mailing Address - Fax:985-858-2990
Practice Address - Street 1:5334 HIGHWAY 311
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2880
Practice Address - Country:US
Practice Address - Phone:504-432-7093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD2013442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1215708Medicaid