Provider Demographics
NPI:1750958773
Name:ALPHA IN-HOME SERVICES, LLC
Entity type:Organization
Organization Name:ALPHA IN-HOME SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMATIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-983-0555
Mailing Address - Street 1:4433 W TOUHY AVE STE 552
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1829
Mailing Address - Country:US
Mailing Address - Phone:847-983-0555
Mailing Address - Fax:847-983-0555
Practice Address - Street 1:4433 W TOUHY AVE STE 552
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1829
Practice Address - Country:US
Practice Address - Phone:847-983-0555
Practice Address - Fax:847-983-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care