Provider Demographics
NPI:1265738728
Name:ALTERNATIVECAREHOMEHEALTHSERVICE
Entity type:Organization
Organization Name:ALTERNATIVECAREHOMEHEALTHSERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:614-599-5918
Mailing Address - Street 1:618 ROBINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1755
Mailing Address - Country:US
Mailing Address - Phone:614-599-5918
Mailing Address - Fax:614-525-0066
Practice Address - Street 1:618 R0BINWWOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1755
Practice Address - Country:US
Practice Address - Phone:614-599-5918
Practice Address - Fax:614-525-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN380886251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health