Provider Demographics
NPI:1982654539
Name:ALTERNACARE HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ALTERNACARE HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:STUCKEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:740-653-2224
Mailing Address - Street 1:1566 MONMOUTH DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8047
Mailing Address - Country:US
Mailing Address - Phone:740-653-2224
Mailing Address - Fax:
Practice Address - Street 1:1566 MONMOUTH DR
Practice Address - Street 2:SUITE 201
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8047
Practice Address - Country:US
Practice Address - Phone:740-653-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH367543Medicare ID - Type Unspecified