Healthcare Provider Details

I. General information

NPI: 1932067006
Provider Name (Legal Business Name): ALPHA HEALTHPLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10055 RED RUN BLVD STE 190
OWINGS MILLS MD
21117-4686
US

IV. Provider business mailing address

10055 RED RUN BLVD STE 190
OWINGS MILLS MD
21117-4686
US

V. Phone/Fax

Practice location:
  • Phone: 443-491-9367
  • Fax: 410-401-5359
Mailing address:
  • Phone: 443-491-9367
  • Fax: 410-401-5359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: AYOKUNLE EMMANUEL EDGAL
Title or Position: DIRECTOR
Credential:
Phone: 202-892-8239