Healthcare Provider Details

I. General information

NPI: 1720890320
Provider Name (Legal Business Name): ALSTON HOME & COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 JOHNSTON AVE APT 1
COHOES NY
12047-2417
US

IV. Provider business mailing address

119 JOHNSTON AVE APT 1
COHOES NY
12047-2417
US

V. Phone/Fax

Practice location:
  • Phone: 518-953-7486
  • Fax:
Mailing address:
  • Phone: 518-953-7486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. KADIAN NICOLA ALSTON
Title or Position: CEO
Credential: CHHA
Phone: 718-200-3809