Provider Demographics
NPI:1396907929
Name:ALTERNATIVE HOME HEALTH AGENCY, INC.
Entity type:Organization
Organization Name:ALTERNATIVE HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:4072863460
Authorized Official - Last Name:REGIDOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-286-3460
Mailing Address - Street 1:7550 FUTURES DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9096
Mailing Address - Country:US
Mailing Address - Phone:407-286-3460
Mailing Address - Fax:407-286-3750
Practice Address - Street 1:7550 FUTURE DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819
Practice Address - Country:US
Practice Address - Phone:407-286-3460
Practice Address - Fax:407-286-3750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993207251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109491Medicare UPIN