Healthcare Provider Details

I. General information

NPI: 1629904982
Provider Name (Legal Business Name): ALLIANCE SUPPORT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E MARKET ST STE 700
INDIANAPOLIS IN
46204-3220
US

IV. Provider business mailing address

155 E MARKET ST STE 700
INDIANAPOLIS IN
46204-3220
US

V. Phone/Fax

Practice location:
  • Phone: 612-422-4677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: HUSSEIN SHARIIF
Title or Position: MANAGER
Credential:
Phone: 763-313-1498