# ALPHA HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpha Home Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578380325
- **Authorized official:** MR. BENJAMIN LEONCIO (VP CORP. SEC. / BUSINESS DEV.)
- **Authorized official phone:** (510) 396-0249

## Contact information

- **Practice address:** 4260 SISK RD STE F, MODESTO, CA 95356-8732
- **Practice address phone:** (510) 396-0249
- **Practice address fax:** (888) 300-7029
- **Mailing address:** 1316 COFFEE RD., BLDG. B2, MODESTO, CA 95355
- **Mailing address phone:** (510) 396-0249
- **Mailing address fax:** (888) 300-7029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | — | NULL | — |
| 163WA2000X | Administrator Registered Nurse | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024