1659746261 NPI number — ALLIANCE HUMAN SERVICES, INC.

Table of content: (NPI 1659746261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659746261 NPI number — ALLIANCE HUMAN SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIANCE HUMAN SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659746261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
134 RUMFORD AVE
Provider Second Line Business Mailing Address:
SUITE 306
Provider Business Mailing Address City Name:
AUBURNDALE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02466-1374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 BREAKNECK HILL RD
Provider Second Line Business Practice Location Address:
UNIT 204
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02865-3908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-475-3884
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GRADY
Authorized Official First Name:
FRANCIS
Authorized Official Middle Name:
J
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
617-332-3366

Provider Taxonomy Codes

  • Taxonomy code: 253J00000X , with the licence number:  68968 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)