Provider Demographics
NPI:1619199049
Name:ALTERNATE HOME SERVICES
Entity Type:Organization
Organization Name:ALTERNATE HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PREWITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-413-7791
Mailing Address - Street 1:3690 S EASTERN AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3377
Mailing Address - Country:US
Mailing Address - Phone:702-413-7791
Mailing Address - Fax:702-413-7792
Practice Address - Street 1:3690 S EASTERN AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3377
Practice Address - Country:US
Practice Address - Phone:702-413-7791
Practice Address - Fax:702-413-7792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health