Provider Demographics
NPI:1730681594
Name:ALLIANCE HOME HEALTH SERVICE, LLC
Entity type:Organization
Organization Name:ALLIANCE HOME HEALTH SERVICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRISAK
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-500-0830
Mailing Address - Street 1:787 LEXINGTON AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1998
Mailing Address - Country:US
Mailing Address - Phone:614-772-6990
Mailing Address - Fax:419-500-0838
Practice Address - Street 1:787 LEXINGTON AVE STE 305
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1998
Practice Address - Country:US
Practice Address - Phone:614-772-6990
Practice Address - Fax:419-500-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health