MEDICARE: ALIANZA COMMUNITY SUPPORT

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1093647794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALIANZA COMMUNITY SUPPORT

Provider Business Mailing Address
First Line	:	44 LUHMAN TER
Second Line	:
City	:	SECAUCUS
State	:	NJ
Zip	:	07094-4206
Country	:	US
Telephone Number	:	201-424-1517
Fax Number	:

Provider Business Practice Location Address
First Line	:	1304 NEW YORK AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4268
Country	:	US
Telephone Number	:	201-424-1517
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	JORGE L REYES
Credential	:
Telephone Number	:	646-610-0950

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ALIANZA COMMUNITY SUPPORT ” Practice Location

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