Provider Demographics
NPI:1881991511
Name:ALPINE HOUSE INC
Entity type:Organization
Organization Name:ALPINE HOUSE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:419-472-5350
Mailing Address - Street 1:2901 TREMAINSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-1943
Mailing Address - Country:US
Mailing Address - Phone:419-724-3671
Mailing Address - Fax:419-724-3672
Practice Address - Street 1:2901 TREMAINSVILLE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-1943
Practice Address - Country:US
Practice Address - Phone:419-724-3671
Practice Address - Fax:419-724-3672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2565R310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility