Healthcare Provider Details

I. General information

NPI: 1295842508
Provider Name (Legal Business Name): ALLIANCE FOR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 COURT ST 2ND FLOOR
BROOKLYN NY
11201-5645
US

IV. Provider business mailing address

17855 DALLAS PKWY STE 200
DALLAS TX
75287-6857
US

V. Phone/Fax

Practice location:
  • Phone: 718-875-8900
  • Fax: 718-246-2852
Mailing address:
  • Phone: 972-201-3819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1170L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HEATHER SISCEL
Title or Position: VP LEGAL
Credential:
Phone: 224-221-0465