Provider Demographics
NPI:1205557956
Name:ALPHA MED HOME HEALTH
Entity type:Organization
Organization Name:ALPHA MED HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKOBYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-245-5566
Mailing Address - Street 1:11251 COLOMA RD STE H
Mailing Address - Street 2:
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-4431
Mailing Address - Country:US
Mailing Address - Phone:747-245-5566
Mailing Address - Fax:916-266-7622
Practice Address - Street 1:11251 COLOMA RD STE H
Practice Address - Street 2:
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-4431
Practice Address - Country:US
Practice Address - Phone:747-245-5566
Practice Address - Fax:916-266-7622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health