Active NPI
Alliance Health Services Inc.
Doing business as Alliance Health Services - PHN
- Home Health Agency
- Eagan, MN
National Provider Identifier
1891880852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HFID02838
- 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, 2020
- 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
- Alana Fiala
- Title
- Administrator
- Phone
- (651) 895-8030
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164555200 | Medicaid | MN |
Other names 1
- Alliance Health Services - PHN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Jun 11, 1993
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider Directory- Tax ID family
- Alliance Health Services - Consultation Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Eagan, MN
- NPI 1669518890
-
dba Alliance Health Services - Consultation Services
- Case Management Agency
- Eagan, MN
- NPI 1538986740
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jill E Cross | Corporate Director | Oct 1, 2017 | |
| W-2 Managing Employee | Oct 1, 2017 | ||
| Bianca L Guritz | Corporate Director | Oct 1, 2017 | |
| W-2 Managing Employee | Oct 1, 2017 | ||
| Teresa L Wickham | Corporate Director | Jun 6, 2013 | |
| W-2 Managing Employee | Jun 6, 2013 | ||
| Stephanie Koenig | Corporate Director | Jun 16, 2013 | |
| W-2 Managing Employee | Jun 16, 2013 | ||
| Justin J Nelson | Corporate Director | Nov 1, 2021 | |
| W-2 Managing Employee | Nov 1, 2021 | ||
| Alana S Fiala | 5% Or Greater Direct Ownership Interest | Oct 1, 1989 | 100% |
| Corporate Officer | Oct 1, 1989 | 100% | |
| Corporate Director | Oct 1, 1989 | 100% | |
| Lori a Lamson | Corporate Director | May 1, 1993 | |
| W-2 Managing Employee | May 1, 1993 | ||
| Shalon Fiala | Corporate Director | Jul 1, 2000 | |
| W-2 Managing Employee | Jul 1, 2000 | ||
| Kaylee Bond | Corporate Director | Jan 1, 2022 | |
| W-2 Managing Employee | 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
- Zakaria Farah Ali
- Ayan Mohamed Alihussein
- Alliance Health Care
- Alliance Health Services Armhs
- Alliance Health Services Inc. (Alliance Health Services - Consultation Services)
- Alliance Health SVCS Fiscal Support
- Alliance Medical Supply
- Alliance Music Therapy, LLC
- Allina Health System (Allina Health Eagan Women's Health Clinic)
- Allina Health System (Allina Health Eagan Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.