Provider Demographics
NPI:1134489354
Name:ELDER ALTERNATIVES
Entity Type:Organization
Organization Name:ELDER ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/HOME HEALTH ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-338-2273
Mailing Address - Street 1:550 SW 3RD ST STE 108
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6944
Mailing Address - Country:US
Mailing Address - Phone:561-338-2273
Mailing Address - Fax:954-697-7897
Practice Address - Street 1:550 SW 3RD ST STE 108
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6944
Practice Address - Country:US
Practice Address - Phone:561-338-2273
Practice Address - Fax:954-697-7897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993861251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299993272OtherAGENCY FOR HEALTH CARE ADMINISTRATION
FL299993861OtherAGENCY FOR HEALTH CARE ADMINISTRATION
FL686629800Medicaid