Healthcare Provider Details
I. General information
NPI: 1538388376
Provider Name (Legal Business Name): ELDER ALTERNATIVES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2007
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7300 W CAMINO REAL SUITE 111
BOCA RATON FL
33433-5512
US
IV. Provider business mailing address
370 CAMINO GARDENS BLVD SUITE 201-D
BOCA RATON FL
33432-5816
US
V. Phone/Fax
- Phone: 561-338-2273
- Fax: 954-697-7897
- Phone: 561-338-2273
- Fax: 954-697-7897
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | 228362 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | 228362 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RHONDA
SCHROEDER
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-338-2273