Provider Demographics
NPI:1326478348
Name:ALTERNATE HOME CARE SPEC. INC
Entity Type:Organization
Organization Name:ALTERNATE HOME CARE SPEC. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:DASCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:386-503-3133
Mailing Address - Street 1:5 BIG DIPPER LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-9355
Mailing Address - Country:US
Mailing Address - Phone:386-246-9756
Mailing Address - Fax:
Practice Address - Street 1:5 BIG DIPPER LN
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-9355
Practice Address - Country:US
Practice Address - Phone:386-246-9756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10729253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care