MEDICARE: ALPHA-1 HOME HEALTH SERVICES LLC

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
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1427715275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA-1 HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	285 NORTH FOSTER ST
Second Line	:	SUITE 301B
City	:	DOTHAN
State	:	AL
Zip	:	36303-4541
Country	:	US
Telephone Number	:	229-407-0033
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 NORTH FOSTER ST
Second Line	:	SUITE 301B
City	:	DOTHAN
State	:	AL
Zip	:	36303-4541
Country	:	US
Telephone Number	:	229-407-0033
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	LAKESHICA HARRIS
Credential	:
Telephone Number	:	229-407-0033

Provider Enumeration Date	:	11/29/2021
Last Update Date	:	01/15/2026

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