MEDICARE: ALT 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	009545	TX

General Provider Information

NPI Number	:	1932219185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALT HOME HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	19506 HIGHWAY 59 NORTH
Second Line	:	SUITE 310
City	:	HUMBLE
State	:	TX
Zip	:	77338-4346
Country	:	US
Telephone Number	:	281-446-4462
Fax Number	:	281-446-2464

Provider Business Practice Location Address
First Line	:	19506 HIGHWAY 59 N
Second Line	:	SUITE 310
City	:	HUMBLE
State	:	TX
Zip	:	77338-4346
Country	:	US
Telephone Number	:	281-446-4462
Fax Number	:	281-446-2464

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ELBERT FRANKLIN GRAY
Credential	:	NURSE
Telephone Number	:	281-446-4462

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/09/2009

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