Provider Demographics
NPI:1871825950
Name:ALEXIAN BROTHERS COMMUNITY SERVICES
Entity Type:Organization
Organization Name:ALEXIAN BROTHERS COMMUNITY SERVICES
Other - Org Name:ALEXIAN BROTHERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MULHEARN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-886-0545
Mailing Address - Street 1:1000 NEWBY ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2703
Mailing Address - Country:US
Mailing Address - Phone:423-634-0814
Mailing Address - Fax:423-634-2049
Practice Address - Street 1:1000 NEWBY ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-2703
Practice Address - Country:US
Practice Address - Phone:423-634-0814
Practice Address - Fax:423-634-2049
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALEXIAN BROTHERS COMMUNITY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care