MEDICARE: ALANI HOME 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

General Provider Information

NPI Number	:	1750183190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALANI HOME CARE INC.

Provider Business Mailing Address
First Line	:	522 LONGSHORE AVE STE 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-4312
Country	:	US
Telephone Number	:	267-592-7688
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 E ALLEGHENY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-4401
Country	:	US
Telephone Number	:	267-995-2388
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER, DIRECTOR OF PAYROLL
Name	:	MR. EDUARDO BOLANO
Credential	:
Telephone Number	:	267-592-7688

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

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