MEDICARE: ALLIANCE 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	1007145	IL

General Provider Information

NPI Number	:	1104855238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	6457 S PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-5148
Country	:	US
Telephone Number	:	773-585-8100
Fax Number	:	773-585-9928

Provider Business Practice Location Address
First Line	:	6457 S PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-5148
Country	:	US
Telephone Number	:	773-585-8100
Fax Number	:	773-585-9928

Authorized Official
Title or Position	:	ASSISTANT ADMINISTRATOR
Name	:	MR. REGINALDO A SULIT
Credential	:
Telephone Number	:	773-585-8100

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	08/22/2020

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Directions to “ALLIANCE HOME HEALTHCARE INC ” Practice Location

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