Provider Demographics
NPI:1659523041
Name:ALTERNATE SOLUTIONS HOMECARE 10, LLC
Entity Type:Organization
Organization Name:ALTERNATE SOLUTIONS HOMECARE 10, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GANZSARTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-298-1111
Mailing Address - Street 1:1050 FORRER BLVD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1472
Mailing Address - Country:US
Mailing Address - Phone:937-298-1111
Mailing Address - Fax:937-853-0552
Practice Address - Street 1:4340 GLENDALE MILFORD RD
Practice Address - Street 2:SUITE 100 C
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-3748
Practice Address - Country:US
Practice Address - Phone:513-563-4663
Practice Address - Fax:937-853-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
368270Medicare Oscar/Certification