MEDICARE: ALTIHEALTH

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	:	1437571437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTIHEALTH

Provider Business Mailing Address
First Line	:	6247 WALNUT HILL LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-5114
Country	:	US
Telephone Number	:	214-597-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	6247 WALNUT HILL LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-5114
Country	:	US
Telephone Number	:	214-597-8887
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. ZACHARIAH C MANNING
Credential	:
Telephone Number	:	214-597-8887

Provider Enumeration Date	:	01/09/2014
Last Update Date	:	01/09/2014

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