Provider Demographics
NPI:1831650647
Name:ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON
Entity Type:Organization
Organization Name:ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANELL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LOCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-668-8820
Mailing Address - Street 1:9203 OPAL SHORES CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0110
Mailing Address - Country:US
Mailing Address - Phone:281-668-8820
Mailing Address - Fax:281-668-7748
Practice Address - Street 1:1035 DAIRY ASHFORD RD STE 142
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4608
Practice Address - Country:US
Practice Address - Phone:281-668-8820
Practice Address - Fax:281-668-7748
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-26
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX397590601-01Medicaid