MEDICARE: ALTERNATIVE HOME HEALTH, INC.

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	NOT APPLICABLE	OH

General Provider Information

NPI Number	:	1689677429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	280 E MAIN ST
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9157
Country	:	US
Telephone Number	:	740-699-7000
Fax Number	:	740-699-7012

Provider Business Practice Location Address
First Line	:	280 E MAIN ST
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9157
Country	:	US
Telephone Number	:	740-699-7000
Fax Number	:	740-699-7012

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. SHEILA SUE SMITH
Credential	:	RN BA
Telephone Number	:	740-699-7000

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/27/2011

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