Provider Demographics
NPI:1326187287
Name:ALTERNATIVE HOME CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE HOME CARE SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEPHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-0545
Mailing Address - Street 1:1220 ERASTE LANDRY RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3046
Mailing Address - Country:US
Mailing Address - Phone:337-233-0545
Mailing Address - Fax:337-233-2490
Practice Address - Street 1:1220 ERASTE LANDRY RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3046
Practice Address - Country:US
Practice Address - Phone:337-233-0545
Practice Address - Fax:337-233-2490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA63323747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1988375Medicaid