Provider Demographics
NPI:1225467772
Name:ALTERNATIVE CARE ESSENTIALS, LLC
Entity Type:Organization
Organization Name:ALTERNATIVE CARE ESSENTIALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:973-707-2494
Mailing Address - Street 1:27 STEPHEN ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-5031
Mailing Address - Country:US
Mailing Address - Phone:973-707-2494
Mailing Address - Fax:
Practice Address - Street 1:27 STEPHEN ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-5031
Practice Address - Country:US
Practice Address - Phone:973-707-2494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0174800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health