Healthcare Provider Details

I. General information

NPI: 1699037697
Provider Name (Legal Business Name): ALPHA ALLIED HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 S CENTRAL BLVD STE 201
JUPITER FL
33458-8816
US

IV. Provider business mailing address

270 S CENTRAL BLVD STE 201
JUPITER FL
33458-8816
US

V. Phone/Fax

Practice location:
  • Phone: 561-721-6453
  • Fax: 561-658-6338
Mailing address:
  • Phone: 561-721-6453
  • Fax: 561-658-6338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: BROCK BLUE
Title or Position: ADMINISTRATOR / PRESIDENT
Credential:
Phone: 561-721-6453