=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740566819
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLIANCE HOMECARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2011
-----------------------------------------------------
Last Update Date | 11/02/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11881 GULF POINTE DR #A26
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77089-2741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-250-6190
-----------------------------------------------------
Fax | 281-484-1976
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11881 GULF POINTE DR #A26
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77089-2741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-250-6190
-----------------------------------------------------
Fax | 281-484-1976
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CONSULTANT
-----------------------------------------------------
Name | MS. KIM-DINH TRAN
-----------------------------------------------------
Credential | REAL ESTATE,FINANCE
-----------------------------------------------------
Telephone | 281-250-6190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251X00000X
-----------------------------------------------------
Taxonomy Name | Supports Brokerage Agency
-----------------------------------------------------
License Number | 0544303
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------