Provider Demographics
NPI:1952695314
Name:SUPPORTIVE COMMUNITY ALLIANCES, LLC
Entity Type:Organization
Organization Name:SUPPORTIVE COMMUNITY ALLIANCES, LLC
Other - Org Name:SCA
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-932-3301
Mailing Address - Street 1:584 SKINHOUSE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-8750
Mailing Address - Country:US
Mailing Address - Phone:270-932-3301
Mailing Address - Fax:270-932-2155
Practice Address - Street 1:584 SKINHOUSE BRANCH RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-8750
Practice Address - Country:US
Practice Address - Phone:270-932-3301
Practice Address - Fax:270-932-2155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care