Healthcare Provider Details

I. General information

NPI: 1255312229
Provider Name (Legal Business Name): ALTERNACARE HOME HEALTH SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 10TH ST
GREAT BEND KS
67530-4256
US

IV. Provider business mailing address

2708 10TH ST
GREAT BEND KS
67530-4256
US

V. Phone/Fax

Practice location:
  • Phone: 620-793-3700
  • Fax: 620-793-8395
Mailing address:
  • Phone: 620-793-3700
  • Fax: 620-793-8395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number501827
License Number StateKS

VIII. Authorized Official

Name: JOHN BOSWELL
Title or Position: OWNER
Credential:
Phone: 785-221-2301