Provider Demographics
NPI:1811482649
Name:ALLEGIANCE HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:ALLEGIANCE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. FLEUR-PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-442-2930
Mailing Address - Street 1:11 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575-1008
Mailing Address - Country:US
Mailing Address - Phone:516-442-2930
Mailing Address - Fax:
Practice Address - Street 1:4614 DISSTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-1814
Practice Address - Country:US
Practice Address - Phone:516-442-2930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care