Provider Demographics
NPI:1841422870
Name:ALTERNATIVES IN HOME CARE
Entity Type:Organization
Organization Name:ALTERNATIVES IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAREMANAGER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELIKA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-327-3384
Mailing Address - Street 1:3875 N COUNTRY CLUB RD
Mailing Address - Street 2:# 220
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1020
Mailing Address - Country:US
Mailing Address - Phone:520-327-3384
Mailing Address - Fax:520-327-3348
Practice Address - Street 1:3875 N COUNTRY CLUB RD
Practice Address - Street 2:# 220
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1020
Practice Address - Country:US
Practice Address - Phone:520-327-3384
Practice Address - Fax:520-327-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-08
Last Update Date:2009-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1150383251B00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ325644Medicaid