Provider Demographics
NPI:1518969989
Name:ALPINE NURSING CARE, INC.
Entity Type:Organization
Organization Name:ALPINE NURSING CARE, INC.
Other - Org Name:ALPINE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:DIVYESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-365-0214
Mailing Address - Street 1:4753 NORTHFIELD RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH RANDALL
Mailing Address - State:OH
Mailing Address - Zip Code:44128-4539
Mailing Address - Country:US
Mailing Address - Phone:216-365-0214
Mailing Address - Fax:216-365-0217
Practice Address - Street 1:4753 NORTHFIELD RD
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH RANDALL
Practice Address - State:OH
Practice Address - Zip Code:44128-4539
Practice Address - Country:US
Practice Address - Phone:216-365-0214
Practice Address - Fax:216-365-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1806808OtherODMRDD CONTRACT #
OH2585171Medicaid
OH2537615Medicaid
OH2585171Medicaid