Provider Demographics
NPI:1902355662
Name:ALPHA OMEGA IN HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:ALPHA OMEGA IN HOME CARE SERVICES LLC
Other - Org Name:ACTI-KARE RESPONSIVE IN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-914-4589
Mailing Address - Street 1:22609 NE 166TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98077-7465
Mailing Address - Country:US
Mailing Address - Phone:206-914-4589
Mailing Address - Fax:425-491-7410
Practice Address - Street 1:22609 NE 166TH ST
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98077-7465
Practice Address - Country:US
Practice Address - Phone:206-914-4589
Practice Address - Fax:425-491-7410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS FS 60631350253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care