Organization Active NPI

Alliance Health Services Inc.

Doing business as Alliance Health Services - PHN

  • Home Health Agency
  • Eagan, MN
National Provider Identifier
1891880852
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HFID02838 Issued in MN
Legal business name
ALLIANCE HEALTH SERVICES INC.
Doing business as
Alliance Health Services - PHN
Practice address
2260 Cliff Rd
Eagan, MN 55122-2316
Phone
(651) 895-8030
NPI assigned
Oct 4, 2006
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Alana Fiala
Title
Administrator
Phone
(651) 895-8030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HFID02838 MN Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

2260 Cliff Rd
Eagan, MN 55122-2316

Mailing address

2260 Cliff Rd
Eagan, MN 55122-2316
Phone (651) 895-8030

Other identifiers 1

IdentifierTypeStateIssuer
164555200MedicaidMN

Other names 1

  • Alliance Health Services - PHN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603000630 MN Part A Provider - Home Health Agency 5395727390 Practice locations: Eagan, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891880852. Details of each certification follow.

Home health agency certification: CCN 247283

Legal name
ALLIANCE HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 1993
Last certification
Nov 15, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 6, 1993 in MN
Enrollment address
2260 Cliff Rd
Eagan, MN 55122-2316

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alliance Health Services IncCCN 247283 · All quality measures
Ownership
Proprietary
Certified
Jun 11, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory
Tax ID family
Alliance Health Services - Consultation Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Jill E Cross Individual Corporate DirectorDirector of Nursing Oct 1, 2017
W-2 Managing EmployeeDirector of Nursing Oct 1, 2017
Bianca L Guritz Individual Corporate DirectorDirector of Nursing Oct 1, 2017
W-2 Managing EmployeeDirector of Nursing Oct 1, 2017
Teresa L Wickham Individual Corporate DirectorDirector of Participant Directed Jun 6, 2013
W-2 Managing EmployeeDirector of Participant Directed Jun 6, 2013
Stephanie Koenig Individual Corporate DirectorDirector of Employee Compensatio Jun 16, 2013
W-2 Managing EmployeeDirector of Employee Compensatio Jun 16, 2013
Justin J Nelson Individual Corporate DirectorDirector of Medical Supply and a Nov 1, 2021
W-2 Managing EmployeeDirector of Medical Supply and a Nov 1, 2021
Alana S Fiala Individual 5% Or Greater Direct Ownership InterestAdministrator/Owner Oct 1, 1989 100%
Corporate OfficerAdministrator/Owner Oct 1, 1989 100%
Corporate DirectorAdministrator/Owner Oct 1, 1989 100%
Lori a Lamson Individual Corporate DirectorDirector of Billing May 1, 1993
W-2 Managing EmployeeDirector of Billing May 1, 1993
Shalon Fiala Individual Corporate DirectorDirector of Operations Jul 1, 2000
W-2 Managing EmployeeDirector of Operations Jul 1, 2000
Kaylee Bond Individual Corporate DirectorDirector of Mental Health Servic Jan 1, 2022
W-2 Managing EmployeeDirector of Mental Health Servic Jan 1, 2022

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1891880852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 CLIFF RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222316",
            "telephone_number": "651-895-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 CLIFF RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222316",
            "telephone_number": "651-895-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "FIALA",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-895-8030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "HFID02838",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164555200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Health Services - PHN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.