Healthcare Provider Details

I. General information

NPI: 1730045535
Provider Name (Legal Business Name): ALEGRIA HOME CARE MI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2025
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 GREENFIELD RD
DEARBORN MI
48120-1802
US

IV. Provider business mailing address

148 DOUGHTY BLVD
INWOOD NY
11096-2047
US

V. Phone/Fax

Practice location:
  • Phone: 516-605-5236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ISRAEL LALLOUZ
Title or Position: DIRECTOR
Credential:
Phone: 516-605-5236