NPIMap

Organization Active NPI

Alpha Home Care Services LLC

  • Home Health Agency
  • Fort Myers, FL
National Provider Identifier
1811165897
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993389 Issued in FL
Legal business name
ALPHA HOME CARE SERVICES LLC
Practice address
8660 College Pkwy
Suite 80
Fort Myers, FL 33919-4886
Phone
(239) 332-2427
Fax
(239) 332-1262
NPI assigned
Feb 13, 2008
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
G-5 INVESTMENT GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Mrs. Kamila Shurii Richter, R.N.
Title
Administrator
Phone
(239) 822-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993389 FL Primary

Addresses

Primary practice location

8660 College Pkwy
Suite 80
Fort Myers, FL 33919-4886

Mailing address

PO Box 61679
Fort Myers, FL 33906-1679
Phone (239) 822-2088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081222000130 FL Part A Provider - Home Health Agency 0749342061 Practice locations: Fort Myers, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811165897. Details of each certification follow.

Home health agency certification: CCN 109269

Legal name
ALPHA HOME CARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 15, 2009
Last certification
Feb 12, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 14, 2007 in FL
Enrollment address
8660 College Parkway
Suite 80
Fort Myers, FL 33919-4886
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alpha Home Care Services LLCCCN 109269 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jan 15, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1091884Alpha Home Care Services LLC8660 College Pkwy Ste 80, Fort Myers, FL 33919Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

8660 College Pkwy
Ste 80
Fort Myers, FL 33919
Phone (239) 332-2427

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mary Lust Individual 5% Or Greater Direct Ownership Interest Oct 1, 2008 37.5%
General Partnership Interest Oct 1, 2008 33%
Corporate Director Oct 1, 2008 33%
W-2 Managing Employee Oct 1, 2008 33%
Rajiv Bakshi Individual 5% Or Greater Direct Ownership Interest Oct 1, 2008 25%
G 5 Investment Group LLC Organization, Fort Myers, FL LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2008
Kamila Richter Individual 5% Or Greater Direct Ownership Interest Oct 1, 2008 37.5%
General Partnership Interest Oct 1, 2008 33%
Corporate Director Oct 1, 2008 33%
W-2 Managing Employee Oct 1, 2008 33%

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1811165897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61679",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339061679",
            "telephone_number": "239-822-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 COLLEGE PKWY",
            "address_2": "SUITE 80",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194886",
            "telephone_number": "239-332-2427",
            "fax_number": "239-332-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME CARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G-5 INVESTMENT GROUP LLC",
        "enumeration_date": "2008-02-13",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "KAMILA",
        "authorized_official_middle_name": "SHURII",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-822-2088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.