MEDICARE: ALLIANCE HOMECARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386781086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE HOMECARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	4535 W SAHARA AVE
Second Line	:	#112H
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3625
Country	:	US
Telephone Number	:	888-606-8773
Fax Number	:	888-559-3399

Provider Business Practice Location Address
First Line	:	4535 W SAHARA AVE
Second Line	:	#112H
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-3625
Country	:	US
Telephone Number	:	888-606-8773
Fax Number	:	888-559-3399

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ADELINA B. MCCAULLEY
Credential	:	R.N.
Telephone Number	:	888-606-8773

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	08/22/2020

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