Healthcare Provider Details

I. General information

NPI: 1134872690
Provider Name (Legal Business Name): ALPHA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7760 FRANCE AVENUE, STE 1100
BLOOMINGTON MN
55435-5930
US

IV. Provider business mailing address

7760 FRANCE AVENUE, STE 1100
BLOOMINGTON MN
55435-5930
US

V. Phone/Fax

Practice location:
  • Phone: 651-797-0915
  • Fax:
Mailing address:
  • Phone: 651-797-0915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. ABDULAHAD MOMAND
Title or Position: OWNER
Credential:
Phone: 651-797-0915