Provider Demographics
NPI:1376903260
Name:ALLIANCE CARE SERVICE LLC
Entity Type:Organization
Organization Name:ALLIANCE CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCGUINN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:828-225-0810
Mailing Address - Street 1:2 RED BUSH CT
Mailing Address - Street 2:SUITE 3
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-4340
Mailing Address - Country:US
Mailing Address - Phone:423-722-3230
Mailing Address - Fax:423-722-3506
Practice Address - Street 1:2 RED BUSH CT
Practice Address - Street 2:SUITE 3
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-4340
Practice Address - Country:US
Practice Address - Phone:423-722-3230
Practice Address - Fax:423-722-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000017167253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ018392Medicaid