Active NPI
Alpha Residential Group LLC
- Home Health Agency
- Maumee, OH
National Provider Identifier
1104771518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALPHA RESIDENTIAL GROUP LLC
- Practice address
- 308 Conant St # 710
Maumee, OH 43537-3358 - Phone
- (419) 573-5997
- NPI assigned
- Mar 2, 2026
- Last updated
- Mar 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marvin Ham, CEO
- Title
- President
- Phone
- (313) 801-3421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
308 Conant St # 710
Maumee, OH 43537-3358
Mailing address
308 Conant St # 710
Maumee, OH 43537-3358
Phone (419) 597-5773
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772409600000",
"number": "1104771518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 CONANT ST # 710",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435373358",
"telephone_number": "419-597-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 CONANT ST # 710",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435373358",
"telephone_number": "419-573-5997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA RESIDENTIAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-02",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A",
"authorized_official_last_name": "HAM",
"authorized_official_first_name": "MARVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-801-3421",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.