Provider Demographics
NPI:1265842421
Name:ALTERRA CARE LLC
Entity Type:Organization
Organization Name:ALTERRA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MURDINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:216-451-4515
Mailing Address - Street 1:938 BRUNSWICK ROAD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112
Mailing Address - Country:US
Mailing Address - Phone:216-451-4515
Mailing Address - Fax:216-503-0414
Practice Address - Street 1:938 BRUNSWICK ROAD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112
Practice Address - Country:US
Practice Address - Phone:216-451-4515
Practice Address - Fax:216-503-0414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health