Active NPI
Alpha Homecare & Therapy Agency LLC
- Home Health Agency
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299993409 | Other | FL | AHCA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 18, 2009
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1087989 | Alpha Homecare & Therapy Agency LLC | Certificate of waiver | Aug 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alpha Homecare & Therapy Agency 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 | 5% Or Greater Direct Ownership Interest | Jan 12, 2009 | |
| Arturo Casingal | 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 | 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.
-
- Physical Therapist
- Melbourne, FL
- NPI 1104818962
-
- Physical Therapist
- Melbourne, FL
- NPI 1225020084
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Casselberry, FL
- NPI 1093241663
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.