Provider Demographics
NPI:1962274431
Name:ALLEGIANCE HOME CARE INC
Entity type:Organization
Organization Name:ALLEGIANCE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-479-4343
Mailing Address - Street 1:203 W MAIN ST STE F4
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2670
Mailing Address - Country:US
Mailing Address - Phone:803-479-4343
Mailing Address - Fax:803-479-4343
Practice Address - Street 1:203 W MAIN ST STE F4
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2670
Practice Address - Country:US
Practice Address - Phone:803-479-4343
Practice Address - Fax:803-479-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care