Healthcare Provider Details

I. General information

NPI: 1760275325
Provider Name (Legal Business Name): ALPHA HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5805 16TH ST N APT 12
ARLINGTON VA
22205-2845
US

IV. Provider business mailing address

5805 16TH ST N APT 12
ARLINGTON VA
22205-2845
US

V. Phone/Fax

Practice location:
  • Phone: 703-889-7045
  • Fax:
Mailing address:
  • Phone: 703-889-7045
  • 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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: YEMESRACH TSEGA
Title or Position: DIRECTOR OF NURSING
Credential:
Phone: 703-989-6806