Provider Demographics
NPI:1811222953
Name:HOMECARE ALTERNATIVE LLC
Entity Type:Organization
Organization Name:HOMECARE ALTERNATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:OUCHAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-862-6314
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:LOVETTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20180-0355
Mailing Address - Country:US
Mailing Address - Phone:301-717-1477
Mailing Address - Fax:540-822-4398
Practice Address - Street 1:209 ELDEN ST STE 303
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4847
Practice Address - Country:US
Practice Address - Phone:703-862-6314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0924554251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health