Provider Demographics
NPI:1841181849
Name:ALICE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ALICE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NKENGAFAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-304-6833
Mailing Address - Street 1:3777 WOODWORTH DR
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-6100
Mailing Address - Country:US
Mailing Address - Phone:740-304-6833
Mailing Address - Fax:
Practice Address - Street 1:3777 WOODWORTH DR
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-6100
Practice Address - Country:US
Practice Address - Phone:740-304-6833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health