Healthcare Provider Details

I. General information

NPI: 1386229516
Provider Name (Legal Business Name): ALTERNATIVE HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 N SHADELAND AVE STE G1A
INDIANAPOLIS IN
46219-4817
US

IV. Provider business mailing address

11722 STILL HAVEN CT
INDIANAPOLIS IN
46229-3974
US

V. Phone/Fax

Practice location:
  • Phone: 317-646-6734
  • Fax: 317-947-7437
Mailing address:
  • Phone: 317-646-6734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN PARKER
Title or Position: OWNER
Credential:
Phone: 317-646-6734