Organization Active NPI

Alpha Care LLC

Doing business as Personal Care Agency

  • Home Health Aide
  • Portland, ME
National Provider Identifier
1912736828
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ALPHA CARE LLC
Doing business as
Personal Care Agency
Practice address
54 Illsley St Unit 2201
Portland, ME 04103-5183
Phone
(512) 571-9853
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Desire Munyankuyo
Title
Owner
Phone
(512) 571-9853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

54 Illsley St Unit 2201
Portland, ME 04103-5183

Mailing address

54 Illsley St Unit 2201
Portland, ME 04103-5183

Other names 1

  • Personal Care Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1912736828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ILLSLEY ST UNIT 2201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 ILLSLEY ST UNIT 2201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035183",
            "telephone_number": "512-571-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MUNYANKUYO",
        "authorized_official_first_name": "DESIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-571-9853"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.