ALPHA PHYSICIANS, PLLC NPI 1023290780

Home Health in Gibraltar, MI

NPI 1023290780 Organization Home Health

About ALPHA PHYSICIANS, PLLC

Alpha Physicians, Pllc is a provider established in Gibraltar, Michigan specializing in home health. The NPI number of Alpha Physicians, Pllc is 1023290780 and was assigned on December 2007. The practitioner's primary taxonomy code is 251E00000X with license number ========= (MI). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Tim Charles Desano (Administrator)

NPI

1023290780

Provider NameALPHA PHYSICIANS, PLLC
Provider Location Address30808 ISLAND DR GIBRALTAR, MI 48173
Provider Mailing Address30808 ISLAND DR GIBRALTAR, MI 48173
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-04-2007
Last Update Date11-07-2008


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License No.=========
License StateMI
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

ALPHA PHYSICIANS, PLLC
30808 ISLAND DR
GIBRALTAR, MI
ZIP 48173
Phone: (734) 250-7377
Fax: (734) 284-6889

Get Directions


Mailing Address

ALPHA PHYSICIANS, PLLC
30808 ISLAND DR
GIBRALTAR, MI
ZIP 48173
Phone: (734) 250-7377
Fax: (734) 284-6889



Authorized Official

Authorized Official NameMR. TIM CHARLES DESANO
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(734) 250-7377

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
OP53240OTHER (01)MI

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356578108MR. TIM CHARLES DESANO
Individual
Contractor30808 ISLAND DR
GIBRALTAR, MI 48173
(734) 915-1270
1811224751PHYSICIANS PLUS LLC
Organization
Home Health30808 ISLAND DR
GIBRALTAR, MI 48173
(734) 915-1270

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.