Healthcare Provider Details

I. General information

NPI: 1295264687
Provider Name (Legal Business Name): ALAGA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 N. MICHIGAN AVENUE 31ST FLOOR
CHICAGO IL
60611
US

IV. Provider business mailing address

875 N MICHIGAN AVE FL 31
CHICAGO IL
60611-1962
US

V. Phone/Fax

Practice location:
  • Phone: 312-667-4646
  • Fax:
Mailing address:
  • Phone: 312-667-4646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MIMILANIE MEDALLE CERALDE
Title or Position: CO-FOUNDER
Credential:
Phone: 312-667-4646