Provider Demographics
NPI:1346018470
Name:THE HOST ALTERNATIVES LLC
Entity Type:Organization
Organization Name:THE HOST ALTERNATIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEFERAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-224-5871
Mailing Address - Street 1:7280 WINTERSTONE CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80927-9651
Mailing Address - Country:US
Mailing Address - Phone:862-224-5871
Mailing Address - Fax:
Practice Address - Street 1:7280 WINTERSTONE CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80927-9651
Practice Address - Country:US
Practice Address - Phone:862-224-5871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities