Provider Demographics
NPI:1164648796
Name:ALTER CARE CORPORATION
Entity Type:Organization
Organization Name:ALTER CARE CORPORATION
Other - Org Name:THE SPRING HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-295-1237
Mailing Address - Street 1:3839 GILMER RD
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-1132
Mailing Address - Country:US
Mailing Address - Phone:903-295-1237
Mailing Address - Fax:903-295-1237
Practice Address - Street 1:3839 GILMER RD
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-1132
Practice Address - Country:US
Practice Address - Phone:903-295-1237
Practice Address - Fax:903-295-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7596001OtherSPECIAL NUTRITION PROGRAM