Provider Demographics
NPI:1093056376
Name:ALTERNATIVE SENIOR CARE, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE SENIOR CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANETT
Authorized Official - Middle Name:S
Authorized Official - Last Name:TILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-549-5979
Mailing Address - Street 1:5924 REYNA AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640-2025
Mailing Address - Country:US
Mailing Address - Phone:409-549-5979
Mailing Address - Fax:
Practice Address - Street 1:5924 REYNA AVE
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77640-2025
Practice Address - Country:US
Practice Address - Phone:409-549-5979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care