Provider Demographics
NPI:1689937856
Name:ALTERNATIVE HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PACITA
Authorized Official - Middle Name:REGALADO
Authorized Official - Last Name:ANSARI
Authorized Official - Suffix:
Authorized Official - Credentials:BS MSN
Authorized Official - Phone:410-769-8094
Mailing Address - Street 1:724 YORK RD STE 2C
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2378
Mailing Address - Country:US
Mailing Address - Phone:410-769-8094
Mailing Address - Fax:410-760-8092
Practice Address - Street 1:724 YORK RD STE 2C
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2378
Practice Address - Country:US
Practice Address - Phone:410-769-8094
Practice Address - Fax:410-760-8092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1015314000000X
MD84498343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)