Healthcare Provider Details

I. General information

NPI: 1023995024
Provider Name (Legal Business Name): ALPHA HOMECARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 SNOWBERRY LN
HOLDEN MA
01520-6516
US

IV. Provider business mailing address

18 SNOWBERRY LN
HOLDEN MA
01520-6516
US

V. Phone/Fax

Practice location:
  • Phone: 857-421-7556
  • Fax:
Mailing address:
  • Phone: 857-262-0885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE NKETIA
Title or Position: DIRECTOR AND FOUNDER
Credential:
Phone: 857-262-0885