=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740262583
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLIANCE HEALTH SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2005
-----------------------------------------------------
Last Update Date | 10/02/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6400 SHELBY VIEW DR SUITE 101
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38134-7659
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-516-1820
-----------------------------------------------------
Fax | 901-516-1880
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6400 SHELBY VIEW DR SUITE 101
-----------------------------------------------------
City | MEMPHIS
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38134-7659
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 901-516-1800
-----------------------------------------------------
Fax | 901-516-1401
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | EUGENE CASHMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 901-516-1820
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 0000000233
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------