Provider Demographics
NPI:1083866479
Name:ALTERNATE SOLUTIONS HOMECARE 12, LLC
Entity Type:Organization
Organization Name:ALTERNATE SOLUTIONS HOMECARE 12, LLC
Other - Org Name:GENACROSS AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR VP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:LORINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALK
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:419-861-4906
Mailing Address - Street 1:2021 N MCCORD RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-3030
Mailing Address - Country:US
Mailing Address - Phone:419-724-1827
Mailing Address - Fax:419-724-1828
Practice Address - Street 1:2021 N MCCORD RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-3030
Practice Address - Country:US
Practice Address - Phone:419-724-1827
Practice Address - Fax:194-724-1828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0096709Medicaid
OH0096709Medicaid