Provider Demographics
NPI:1548396708
Name:ALPHA N-HOME CARE, INC.
Entity type:Organization
Organization Name:ALPHA N-HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JO
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-674-4147
Mailing Address - Street 1:PO BOX 2182
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28359-2182
Mailing Address - Country:US
Mailing Address - Phone:910-674-4147
Mailing Address - Fax:910-674-4343
Practice Address - Street 1:103 W 26TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3617
Practice Address - Country:US
Practice Address - Phone:910-674-4147
Practice Address - Fax:910-674-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3514251E00000X
NCHC4067251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC3514Medicaid
NCHC4067Medicaid