Provider Demographics
NPI:1386229516
Name:ALTERNATIVE HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:ALTERNATIVE HOME CARE SERVICES LLC
Other - Org Name:ALTERNATIVE HOME CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-646-6734
Mailing Address - Street 1:11722 STILL HAVEN CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-3974
Mailing Address - Country:US
Mailing Address - Phone:317-646-6734
Mailing Address - Fax:
Practice Address - Street 1:920 N SHADELAND AVE STE G1A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-4817
Practice Address - Country:US
Practice Address - Phone:317-646-6734
Practice Address - Fax:317-947-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300047661Medicaid