Organization Active NPI

Alta Healthcare Services LLC

  • Home Health Agency
  • Gaithersburg, MD
National Provider Identifier
1659882173
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALTA HEALTHCARE SERVICES LLC
Practice address
101 Lakeforest Blvd Ste 250
Gaithersburg, MD 20877-2633
Phone
(240) 801-9818
Fax
(240) 801-9819
NPI assigned
Oct 24, 2017
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Hannah Dibonge
Title
Ceo
Phone
(240) 506-1728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 Lakeforest Blvd Ste 250
Gaithersburg, MD 20877-2633

Mailing address

21506 Manor View Cir
Germantown, MD 20876-5924
Phone (240) 506-1728

Other practice location 1

21506 Manor View Cir
Germantown, MD 20876-5924
Phone (240) 506-1728

Other practice location 2

101 Lakeforest Blvd
Gaithersburg, MD 20877-2611
Phone (240) 506-1728

National Provider Directory

National Provider Directory

Locations

101 Lakeforest Blvd
Ste 250
Gaithersburg, MD 20877
Phone (240) 506-1728

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1659882173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21506 MANOR VIEW CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765924",
            "telephone_number": "240-506-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKEFOREST BLVD STE 250",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772633",
            "telephone_number": "240-801-9818",
            "fax_number": "240-801-9819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21506 Manor View Cir",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208765924",
            "country_code": "US",
            "telephone_number": "240-506-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Lakeforest Blvd",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772611",
            "country_code": "US",
            "telephone_number": "240-506-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTA HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DIBONGE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-506-1728"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.