Provider Demographics
NPI:1699507715
Name:ALPHAMEGA CARE LLC
Entity type:Organization
Organization Name:ALPHAMEGA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUMIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLAYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-461-3306
Mailing Address - Street 1:200 RIVULET DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-9323
Mailing Address - Country:US
Mailing Address - Phone:470-461-3306
Mailing Address - Fax:
Practice Address - Street 1:200 RIVULET DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-9323
Practice Address - Country:US
Practice Address - Phone:470-461-3306
Practice Address - Fax:770-763-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty