Provider Demographics
NPI:1902002686
Name:ALLIANCE IN-HOME CARE, LLC
Entity Type:Organization
Organization Name:ALLIANCE IN-HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CASTILLO-HESS
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, CSA
Authorized Official - Phone:703-625-1067
Mailing Address - Street 1:6201 LEESBURG PIKE STE 6
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2201
Mailing Address - Country:US
Mailing Address - Phone:703-825-1067
Mailing Address - Fax:
Practice Address - Street 1:6201 LEESBURG PIKE STE 6
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2201
Practice Address - Country:US
Practice Address - Phone:703-825-1067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-07426251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health