Healthcare Provider Details

I. General information

NPI: 1225286628
Provider Name (Legal Business Name): ALFA HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2244 PALISADES CENTER DR
WEST NYACK NY
10994-6402
US

IV. Provider business mailing address

2244 PALISADES CENTER DR
WEST NYACK NY
10994-6402
US

V. Phone/Fax

Practice location:
  • Phone: 845-358-2433
  • Fax: 845-358-4484
Mailing address:
  • Phone: 845-358-2433
  • Fax: 845-358-4484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. OKECHUKWU CHIAKA
Title or Position: CEO
Credential:
Phone: 845-358-2433