Provider Demographics
NPI:1831494848
Name:ALTERNATIVE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ALTERNATIVE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SURETTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-657-7444
Mailing Address - Street 1:160 MERRIMACK ST STE 1
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-6117
Mailing Address - Country:US
Mailing Address - Phone:978-657-7444
Mailing Address - Fax:978-657-7455
Practice Address - Street 1:160 MERRIMACK ST STE 1
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-6117
Practice Address - Country:US
Practice Address - Phone:978-657-7444
Practice Address - Fax:978-657-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-22
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3060251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110090590AMedicaid
MA110090590AMedicaid