Provider Demographics
NPI:1235930215
Name:ALPHA HOME CARE LLC
Entity type:Organization
Organization Name:ALPHA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:FARDOWSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKHNOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-404-4691
Mailing Address - Street 1:8030 OLD CEDAR AVE S STE 227B
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1203
Mailing Address - Country:US
Mailing Address - Phone:612-404-4691
Mailing Address - Fax:
Practice Address - Street 1:8030 OLD CEDAR AVE S STE 227B
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1203
Practice Address - Country:US
Practice Address - Phone:612-404-4691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health