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NPI Code Detail

MEDICARE: ALPHA CARE SERVICES LLC

MEDICARE: ALPHA CARE 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
1253Z00000XIn Home Supportive Care Agency
23747P1801XPersonal Care Attendant
3251E00000XHome Health Agency

General Provider Information

NPI Number : 1568278513
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPHA CARE SERVICES LLC
Provider Business Mailing Address
First Line : 12634 NACOGDOCHES RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-2118
Country : US
Telephone Number : 713-505-6686
Fax Number :
Provider Business Practice Location Address
First Line : 12634 NACOGDOCHES RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78217-2118
Country : US
Telephone Number : 713-505-6686
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. PRINCE CHIWUIKEM IHENACHO
Credential :
Telephone Number : 713-505-6686
Provider Enumeration Date : 12/05/2024
Last Update Date : 04/22/2025

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Directions to “ALPHA CARE SERVICES LLC ” Practice Location

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