Provider Demographics
NPI:1013156678
Name:ALPINE HOME HEALTH AND HOSPICE, INC
Entity type:Organization
Organization Name:ALPINE HOME HEALTH AND HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-551-0355
Mailing Address - Street 1:555 S CAMINO DEL RIO
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-6826
Mailing Address - Country:US
Mailing Address - Phone:970-247-7913
Mailing Address - Fax:817-731-3529
Practice Address - Street 1:555 S CAMINO DEL RIO
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-6826
Practice Address - Country:US
Practice Address - Phone:970-247-7913
Practice Address - Fax:817-731-3529
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOYAGER HOSPICE CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGMedicare Oscar/Certification