Provider Demographics
NPI:1598211146
Name:ALTERNATIVE HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:ALTERNATIVE HEALTH SOLUTIONS LLC
Other - Org Name:BLUMINE HEALTH SOUTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-384-1917
Mailing Address - Street 1:2843 BROWNSBORO RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1281
Mailing Address - Country:US
Mailing Address - Phone:502-384-1917
Mailing Address - Fax:
Practice Address - Street 1:5120 DIXIE HWY STE 106
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-1775
Practice Address - Country:US
Practice Address - Phone:502-995-7008
Practice Address - Fax:502-995-7009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTERNATIVE HEALTH SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-01
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3006611OtherKY APRN LICENSE