MEDICARE: ALTERNATIVE TRANSITIONS OF THE CAROLINAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC3548	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407153026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE TRANSITIONS OF THE CAROLINAS

Provider Business Mailing Address
First Line	:	6047 TYVOLA GLEN CIR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-6431
Country	:	US
Telephone Number	:	704-414-6738
Fax Number	:	704-414-6739

Provider Business Practice Location Address
First Line	:	6047 TYVOLA GLEN CIR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-6431
Country	:	US
Telephone Number	:	704-414-6738
Fax Number	:	704-414-6739

Authorized Official
Title or Position	:	AGENCY DIRECTOR/CEO
Name	:	MRS. MONTOYA CHRISTIAN BOYD
Credential	:
Telephone Number	:	704-414-6738

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	04/08/2011

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Practice Location Address:

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Directions to “ALTERNATIVE TRANSITIONS OF THE CAROLINAS ” Practice Location

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