MEDICARE: ALPHA CARE, 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	761-1	MO

General Provider Information

NPI Number	:	1518094218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA CARE, INC

Provider Business Mailing Address
First Line	:	9312 OLIVE BOULEVARD
Second Line	:
City	:	ST. LOUIS
State	:	MO
Zip	:	63132-3208
Country	:	US
Telephone Number	:	314-993-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	9312 OLIVE BOULEVARD
Second Line	:
City	:	ST. LOUIS
State	:	MO
Zip	:	63132-3208
Country	:	US
Telephone Number	:	314-993-2273
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. GARY L OLSHANSKY
Credential	:
Telephone Number	:	314-993-2273

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	08/22/2020

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Directions to “ALPHA CARE, INC ” Practice Location

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