MEDICARE: ALPINE HEALTHCARE INCORPORATED

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	:	1861644692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE HEALTHCARE INCORPORATED

Provider Business Mailing Address
First Line	:	12003 ENSENADA CANYON LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-6199
Country	:	US
Telephone Number	:	713-384-6156
Fax Number	:

Provider Business Practice Location Address
First Line	:	12003 ENSENADA CANYON LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-6199
Country	:	US
Telephone Number	:	713-384-6156
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ABHAMAN AJEEMDAS PARMAR
Credential	:
Telephone Number	:	713-384-6156

Provider Enumeration Date	:	10/10/2008
Last Update Date	:	02/24/2009

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