| Organization Name: | ALLEVA HOME CARE |
| NPI Number: | 1295001253 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NISON BORIS SIMONTOV (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1511 Third Ave Suite 308 Seattle |
| State: | WA US |
| Postal Code: | 981011683 |
| Phone Number: | 2069571365 |
| Fax Number: | 2063824234 |
| NPI Enumeration Date: | 03/23/2012 |
| NPI Last Update Date: | 03/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | IHS.FS.00000123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |