Provider Demographics
NPI:1902418809
Name:HOME ALLIANCE SERVICES LLC
Entity Type:Organization
Organization Name:HOME ALLIANCE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAKARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-397-2067
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-0399
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1502 SUMMIT OAK COURT
Practice Address - Street 2:UNIT C
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228
Practice Address - Country:US
Practice Address - Phone:804-397-2067
Practice Address - Fax:903-865-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health