| Organization Name: | ALPHA HOME CARE CORP |
| NPI Number: | 1710382635 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ZURAB KVANTRISHVILI (CFO) |
| Mailing Address: | 332 Bustleton Pike Fl 3 Unit B Feasterville Trevose |
| State: | PA US |
| Postal Code: | 190537856 |
| Phone Number: | 2154855967 |
| Fax Number: | 2154855924 |
| NPI Enumeration Date: | 11/04/2014 |
| NPI Last Update Date: | 05/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 26183601 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |