Healthcare Provider Details

I. General information

NPI: 1114702560
Provider Name (Legal Business Name): ALLIANCE HEALTH AND HOMECARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8024 GLENWOOD AVE
RALEIGH NC
27612-1912
US

IV. Provider business mailing address

5008 OXFORDSHIRE RD
WAXHAW NC
28173-7324
US

V. Phone/Fax

Practice location:
  • Phone: 704-652-1955
  • Fax: 704-983-0967
Mailing address:
  • Phone: 704-652-1955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLENE BOWDEN
Title or Position: OWNER
Credential:
Phone: 704-983-0959