Healthcare Provider Details

I. General information

NPI: 1992810451
Provider Name (Legal Business Name): ALPHA HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 N MARINE DR SUITE 236
CHICAGO IL
60613-1744
US

IV. Provider business mailing address

6225 N MILWAUKEE AVE
CHICAGO IL
60646-3730
US

V. Phone/Fax

Practice location:
  • Phone: 773-404-0160
  • Fax:
Mailing address:
  • Phone: 773-685-2220
  • Fax: 773-685-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. ELBERT REGACHO
Title or Position: PRESIDENT
Credential:
Phone: 773-685-2220