MEDICARE: ALPHA HOME HEALTHCARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023036829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA HOME HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	4245 S BEECH DALY ST
Second Line	:	SUITE B
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48125-1567
Country	:	US
Telephone Number	:	313-565-8000
Fax Number	:	313-565-8006

Provider Business Practice Location Address
First Line	:	4245 S BEECH DALY ST
Second Line	:	SUITE B
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48125-1567
Country	:	US
Telephone Number	:	313-565-8000
Fax Number	:	313-565-8006

Authorized Official
Title or Position	:	CEO
Name	:	MR. MUHAMMAD ZAFAR
Credential	:	MBA
Telephone Number	:	313-565-8000

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	08/22/2020

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