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NPI 1205911369

NPI 1205911369 : ALPHACARE HOME HEALTH, INC. : MONROE, LA

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General NPI Number Information
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    NPI Number           |    1205911369
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALPHACARE HOME HEALTH, INC. 
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Dates
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    Enumeration Date     |    10/26/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1859 AVENUE OF AMERICA BUILDING 5
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    City                 |    MONROE
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    State                |    LA
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    Zip                  |    71201-4529
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    Country              |    US
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    Telephone            |    318-323-7097
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    Fax                  |    318-323-6833
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Provider Business Mailing Address
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    Address Line         |    1859 AVENUE OF AMERICA BUILDING 5
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    City                 |    MONROE
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    State                |    LA
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    Zip                  |    71201-4529
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    Country              |    US
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    Telephone            |    318-323-7097
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    Fax                  |    318-323-6833
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Authorized Official
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    Title or Position    |    C.E.O.
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    Name                 |    MR. RUSSELL M STARNS 
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    Credential           |    
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    Telephone            |    225-262-9741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    608
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    License Number State |    LA
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