Organization Active NPI

Alpha Homecare & Therapy Agency LLC

  • Home Health Agency
  • Melbourne, FL
National Provider Identifier
1821283300
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALPHA HOMECARE & THERAPY AGENCY LLC
Practice address
3040 N Wickham Rd
Suite 7
Melbourne, FL 32935-2369
Phone
(321) 254-1070
Fax
(321) 254-1037
NPI assigned
Sep 7, 2007
Last updated
Mar 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Mrs. Jocelyn Chan Casingal, P.T.NPI 1104818962
Title
Manager
Phone
(321) 254-1070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3040 N Wickham Rd
Suite 7
Melbourne, FL 32935-2369

Mailing address

3040 N Wickham Rd
Suite 7
Melbourne, FL 32935-2369
Phone (321) 254-1070

Other identifiers 1

IdentifierTypeStateIssuer
299993409OtherFLAHCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090415000480 FL Part A Provider - Home Health Agency 0446307128 Practice locations: Melbourne, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821283300. Details of each certification follow.

Home health agency certification: CCN 109386

Legal name
ALPHA HOMECARE & THERAPY AGENCY LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 18, 2009
Last certification
Dec 2, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 23, 2007 in FL
Enrollment address
401 Wickham Rd.
Suite O
Melbourne, FL 32935

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alpha Homecare & Therapy Agency LLCCCN 109386 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 18, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
10D1087989Alpha Homecare & Therapy Agency LLC401 North Wickham Rd, Ste O, Melbourne, FL 32935Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory

Locations

401 N Wickham Rd
Ste O
Melbourne, FL 32935
Phone (321) 254-1070

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
Alpha Homecare & Therapy Agency LLC Organization, Melbourne, FL LLC 5% Or Greater Direct Ownership Interest Jan 12, 2009
General Partnership Interest Jan 12, 2009
Operational/Managerial Control Jan 12, 2009
Jocelyn C Casingal Individual 5% Or Greater Direct Ownership Interest Jan 12, 2009
Arturo Casingal Individual 5% Or Greater Direct Ownership Interest Jan 12, 2009
Corporate Officer Jan 12, 2009
Corporate Director Jan 12, 2009
W-2 Managing Employee Jan 12, 2009
Irene Wilkerson Individual 5% Or Greater Direct Ownership Interest Feb 1, 2017
Corporate Officer Feb 1, 2017
W-2 Managing Employee Feb 1, 2017

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1821283300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N WICKHAM RD",
            "address_2": "SUITE 7",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352369",
            "telephone_number": "321-254-1070",
            "fax_number": "321-254-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N WICKHAM RD",
            "address_2": "SUITE 7",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352369",
            "telephone_number": "321-254-1070",
            "fax_number": "321-254-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOMECARE & THERAPY AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "CASINGAL",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "CHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-254-1070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "299993409",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.