Provider Demographics
NPI:1962118349
Name:ALPHA HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ALPHA HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTED LIVING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONDARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-594-4862
Mailing Address - Street 1:1908 SKYLINE DR N
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2928
Mailing Address - Country:US
Mailing Address - Phone:952-212-8981
Mailing Address - Fax:
Practice Address - Street 1:1908 SKYLINE DR N
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2928
Practice Address - Country:US
Practice Address - Phone:952-212-8981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility