Alpine Home Care of PA, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

24173601 Issued in PA

Legal business name

ALPINE HOME CARE OF PA, LLC

Practice address

1 Bala Ave
Suite LL-3
Bala Cynwyd, PA 19004-3212

Phone

(855) 325-7463

Fax

(484) 278-4312

NPI assigned

Dec 27, 2013

Organization subpart

Yes

Parent organization

ALPINE HEALTH VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Terence Kevin Ohara

Title

Cfo

Phone

(484) 212-0848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1326469925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "address_2": "SUITE LL-3",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "855-325-7463",
            "fax_number": "484-278-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALA AVE",
            "address_2": "SUITE LL-3",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043212",
            "telephone_number": "855-325-7463",
            "fax_number": "484-278-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE HOME CARE OF PA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPINE HEALTH VENTURES, LLC",
        "enumeration_date": "2013-12-27",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "484-212-0848"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "24173601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; 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.