Provider Demographics
NPI:1902592926
Name:ALEGRIA HOME CARE SERVICES
Entity Type:Organization
Organization Name:ALEGRIA HOME CARE SERVICES
Other - Org Name:ALEGRIA NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTAND ADMINISRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA-ROJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-439-5798
Mailing Address - Street 1:1380 N KROME AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2406
Mailing Address - Country:US
Mailing Address - Phone:786-439-5798
Mailing Address - Fax:
Practice Address - Street 1:1380 N KROME AVE STE 103
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2406
Practice Address - Country:US
Practice Address - Phone:786-554-3613
Practice Address - Fax:786-504-3473
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEGRIA HOME CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-13
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912535774OtherNPI
FL117933400Medicaid