Provider Demographics
NPI:1114152089
Name:ALTERNATIVE SERVICES-NE, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE SERVICES-NE, INC.
Other - Org Name:ASI-NE
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-399-7262
Mailing Address - Street 1:1567 LISBON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-3545
Mailing Address - Country:US
Mailing Address - Phone:207-777-1107
Mailing Address - Fax:207-777-1605
Practice Address - Street 1:1567 LISBON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-3545
Practice Address - Country:US
Practice Address - Phone:207-777-1107
Practice Address - Fax:207-777-1605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME219501251B00000X, 253Z00000X, 320800000X
320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME170010100Medicaid
ME432786100Medicaid
ME170010000Medicaid