Healthcare Provider Details

I. General information

NPI: 1073432894
Provider Name (Legal Business Name): ALISHA HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6617 WALTON HALL CT
WAXHAW NC
28173-7241
US

IV. Provider business mailing address

6617 WALTON HALL CT
WAXHAW NC
28173-7241
US

V. Phone/Fax

Practice location:
  • Phone: 917-257-6551
  • Fax:
Mailing address:
  • Phone: 917-257-6551
  • 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: REENA SHARMA
Title or Position: FNP
Credential:
Phone: 917-257-6551