Provider Demographics
NPI:1962730721
Name:ALLIANCE HOMECARE
Entity type:Organization
Organization Name:ALLIANCE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM-DINH
Authorized Official - Middle Name:V
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-250-6190
Mailing Address - Street 1:11900 SHADOW CREEK PKWY
Mailing Address - Street 2:#124
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4821
Mailing Address - Country:US
Mailing Address - Phone:281-250-6190
Mailing Address - Fax:713-340-1146
Practice Address - Street 1:11900 SHADOW CREEK PKWY
Practice Address - Street 2:#124
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4821
Practice Address - Country:US
Practice Address - Phone:281-250-6190
Practice Address - Fax:713-340-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-05
Last Update Date:2009-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X, 311ZA0620X, 332U00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No332U00000XSuppliersHome Delivered Meals
No347C00000XTransportation ServicesPrivate Vehicle