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General NPI Number Information
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NPI Number | 1578905618
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Entity Type | Organization
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Legal Business Name | ALLIANCE HOME HEALTHCARE INC
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 5701 SHINGLE CREEK PKWY SUITE 631
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2467
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Country | US
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Telephone | 612-323-0841
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Fax | 763-999-5124
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Provider Business Mailing Address
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Address Line | 5701 SHINGLE CREEK PKWY SUITE 631
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City | BROOKLYN CENTER
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State | MN
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Zip | 55430-2467
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Country | US
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Telephone | 612-323-0841
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Fax | 763-999-5124
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Authorized Official
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Title or Position | OWNER
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Name | FATUMA KAMARA
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Credential |
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Telephone | 612-323-0841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | HE-01084-04 (10/00
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | HE-01084-04 (10/00)
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HE-01084-04 (10/00)
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License Number State | MN
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