Alpha Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ALPHA HOME CARE LLC

Practice address

2826 Summertrees Blvd
Johns Island, SC 29455-3909

Phone

(843) 224-1624

Fax

(843) 779-0572

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Tumiko Rucker, MBA

Title

Administrator

Phone

(843) 779-0572

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1851862700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294571689",
            "telephone_number": "843-224-1624",
            "fax_number": "843-779-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 SUMMERTREES BLVD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553909",
            "telephone_number": "843-224-1624",
            "fax_number": "843-779-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "TUMIKO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-779-0572",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DHEC LICENSE",
            "identifier": "IHCP-0970",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Abel, NP
• Ace Physio & Wellness LLC
• Elisabeth Louise Ahntholz, LPCC
• Cheryl Ann Allen, APRN
• James Crawford Allen, M.D.
• Natalie Altieri, MA, LPC
• Rebekah Gould Anderson, DMD
• Angel Oak Eye Center
• Angel Oak Family Medicine LLC
• Angel Oak Pediatrics LLC

• In Home Supportive Care Agency in Johns Island, SC
• Providers in Johns Island, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.