Provider Demographics
NPI:1487788949
Name:HEALTH ALLIANCE CORPORATION
Entity type:Organization
Organization Name:HEALTH ALLIANCE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, DPCS
Authorized Official - Prefix:
Authorized Official - First Name:EMELYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ECLAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:818-409-1780
Mailing Address - Street 1:815 E COLORADO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1200
Mailing Address - Country:US
Mailing Address - Phone:818-409-1780
Mailing Address - Fax:818-409-0801
Practice Address - Street 1:815 E COLORADO ST
Practice Address - Street 2:SUITE 210
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1200
Practice Address - Country:US
Practice Address - Phone:818-409-1780
Practice Address - Fax:818-409-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058125Medicare ID - Type UnspecifiedHOME HEALTH