Provider Demographics
NPI:1578041844
Name:ALTERNATIVE HOME CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE HOME CARE SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BROUSSARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-0545
Mailing Address - Street 1:1220 ERASTE LANDRY RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3046
Mailing Address - Country:US
Mailing Address - Phone:337-233-0545
Mailing Address - Fax:337-233-0546
Practice Address - Street 1:1220 ERASTE LANDRY RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3046
Practice Address - Country:US
Practice Address - Phone:337-233-0545
Practice Address - Fax:337-233-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty