Healthcare Provider Details

I. General information

NPI: 1992805162
Provider Name (Legal Business Name): ALTERNATIVES2GRO (SELF EMPLOYED)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S TAMIAMI TRL STE 202
SARASOTA FL
34236-7818
US

IV. Provider business mailing address

PO BOX 51521
SARASOTA FL
34232-0312
US

V. Phone/Fax

Practice location:
  • Phone: 941-549-0221
  • Fax:
Mailing address:
  • Phone: 941-549-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW17337
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number44SC05549000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number44SC05549000
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number44S05549000
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number44SC05549000
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number44SC05549000
License Number StateNJ

VIII. Authorized Official

Name: MS. GERALDINE ELLEN MORGAN
Title or Position: OWNER
Credential: LCSW
Phone: 941-549-0221