Healthcare Provider Details

I. General information

NPI: 1063335834
Provider Name (Legal Business Name): ALPPHAS HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17498 GRAND AVE
LAKE ELSINORE CA
92530-5832
US

IV. Provider business mailing address

17498 GRAND AVE
LAKE ELSINORE CA
92530-5832
US

V. Phone/Fax

Practice location:
  • Phone: 95-137-8105
  • Fax:
Mailing address:
  • Phone: 951-378-1051
  • Fax: 951-378-1051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: SHAREE WILLIAMS
Title or Position: OWNER
Credential:
Phone: 951-378-1051