1457310849 NPI number — ALLIANCE HOMECARE SYSTEMS, INC.

Table of content: (NPI 1457310849)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457310849 NPI number — ALLIANCE HOMECARE SYSTEMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIANCE HOMECARE SYSTEMS, 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:
1457310849
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13280 SW 131ST ST
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33186-6285
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-256-5551
Provider Business Mailing Address Fax Number:
305-256-5513

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13280 SW 131ST ST
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33186-6285
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-256-5551
Provider Business Practice Location Address Fax Number:
305-256-5513
Provider Enumeration Date:
03/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STOUFFER
Authorized Official First Name:
MONICA
Authorized Official Middle Name:
MCCONAUGHY
Authorized Official Title or Position:
VICE PRESIDENT/CFO/PATIENT CARE
Authorized Official Telephone Number:
305-218-3006

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  1455 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1015754 . This is a "ACM MANAGEMENT, INC." identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 6197 . This is a "JMH HEALTH PLAN" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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