MEDICARE: ALLIANCE HEALTH RCFE

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1699591610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE HEALTH RCFE

Provider Business Mailing Address
First Line	:	23601 CANZONET ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-5845
Country	:	US
Telephone Number	:	818-426-1136
Fax Number	:

Provider Business Practice Location Address
First Line	:	23601 CANZONET ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-5845
Country	:	US
Telephone Number	:	818-426-1136
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SARA GOLFEIZ
Credential	:
Telephone Number	:	818-426-1136

Provider Enumeration Date	:	11/25/2024
Last Update Date	:	11/25/2024

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