Healthcare Provider Details

I. General information

NPI: 1043173545
Provider Name (Legal Business Name): ALTERNATIVE CARE SOLUTIONS KY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 E RUBY CREEK DR
ELLETTSVILLE IN
47429-8214
US

IV. Provider business mailing address

1010 E RUBY CREEK DR
ELLETTSVILLE IN
47429-8214
US

V. Phone/Fax

Practice location:
  • Phone: 812-318-7044
  • Fax:
Mailing address:
  • Phone: 812-318-7044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY NORRIS
Title or Position: OWNER
Credential:
Phone: 812-318-7044