Provider Demographics
NPI:1376070656
Name:ALCOVE CARE INC.
Entity Type:Organization
Organization Name:ALCOVE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KASEY
Authorized Official - Middle Name:DEEANN
Authorized Official - Last Name:KUEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-971-6350
Mailing Address - Street 1:PO BOX 882
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:TX
Mailing Address - Zip Code:79346
Mailing Address - Country:US
Mailing Address - Phone:512-971-6350
Mailing Address - Fax:
Practice Address - Street 1:110 SW 5TH STREET
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:TX
Practice Address - Zip Code:79346
Practice Address - Country:US
Practice Address - Phone:806-266-0026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-17
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20104171Medicaid