Provider Demographics
NPI:1689957698
Name:CARING HANDS ALTERNATIVES INC
Entity Type:Organization
Organization Name:CARING HANDS ALTERNATIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAKE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:813-526-3019
Mailing Address - Street 1:PO BOX 24102
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33623-4102
Mailing Address - Country:US
Mailing Address - Phone:813-526-3019
Mailing Address - Fax:
Practice Address - Street 1:4222 W GREEN ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-4102
Practice Address - Country:US
Practice Address - Phone:813-526-3019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232253253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004018600Medicaid