Healthcare Provider Details

I. General information

NPI: 1366563397
Provider Name (Legal Business Name): ALTERNATIVE NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1827 8TH ST
LEWISTON ID
83501-3891
US

IV. Provider business mailing address

1827 8TH ST
LEWISTON ID
83501-3891
US

V. Phone/Fax

Practice location:
  • Phone: 208-746-3050
  • Fax: 208-746-3640
Mailing address:
  • Phone: 208-746-3050
  • Fax: 208-746-3640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number2ALTNURSE051
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number2ALTNURSE051
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIS218
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BRANDEN RAFAEL BEIER
Title or Position: ADMINISTRATOR
Credential:
Phone: 208-746-3050