Healthcare Provider Details

I. General information

NPI: 1174440481
Provider Name (Legal Business Name): ALVERA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15324 MACK AVE
GROSSE POINTE PARK MI
48230-6238
US

IV. Provider business mailing address

135 HARBORVIEW S
LAWRENCE NY
11559-1907
US

V. Phone/Fax

Practice location:
  • Phone: 313-489-9138
  • Fax:
Mailing address:
  • Phone: 646-591-7846
  • Fax: 646-591-7846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AVI LEINER
Title or Position: PRESIDENT
Credential:
Phone: 646-591-7846