Alpha Healthcare Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALPHA HEALTHCARE SERVICES, LLC

Practice address

2244 S Hamilton Rd Ste 200
Columbus, OH 43232-4390

Phone

(614) 804-5488

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Vida Kankam

Title

Ceo

Phone

(614) 804-5488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369283

Legal name

ALPHA HEALTHCARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 30, 2021

Last certification

Jun 30, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Oct 23, 2018 in OH

Enrollment address

2244 S Hamilton Rd
Ste 200
Columbus, OH 43232-4390

Listed as

Alpha Healthcare Services LLCCCN 369283 · All quality measures

Ownership

Proprietary

Certified

Jun 30, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

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

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1841767050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "BRICE",
            "state": "OH",
            "postal_code": "431090483",
            "telephone_number": "614-804-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 S HAMILTON RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324390",
            "telephone_number": "614-804-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "KANKAM",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-804-5488"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.

Verify at the official NPI Registry.