Alliance Home Care Services, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

234700 Issued in FL

Legal business name

ALLIANCE HOME CARE SERVICES, LLC.

Practice address

11750 Canal St Unit 3-506
Miramar, FL 33025-7817

Phone

(866) 616-0715

Fax

(866) 864-9352

NPI assigned

Mar 30, 2017

Last updated

Mar 30, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dontavius Monquez Logan

Title

Owner/Ceo

Phone

(786) 779-4726

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1275065112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 CANAL ST UNIT 3-506",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257817",
            "telephone_number": "866-616-0715",
            "fax_number": "866-864-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 CANAL ST UNIT 3-506",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257817",
            "telephone_number": "866-616-0715",
            "fax_number": "866-864-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOME CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "DONTAVIUS",
        "authorized_official_middle_name": "MONQUEZ",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "786-779-4726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "234700",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Miramar, FL
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• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.