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General NPI Number Information
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NPI Number | 1306841861
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Entity Type | Organization
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Legal Business Name | ALTERNA-CARE INC.
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 319 E MADISON ST STE 3N
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City | SPRINGFIELD
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State | IL
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Zip | 62701-3127
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Country | US
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Telephone | 217-525-3733
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Fax | 217-525-3739
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Provider Business Mailing Address
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Address Line | 319 E MADISON ST STE 3N
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City | SPRINGFIELD
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State | IL
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Zip | 62701-3127
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Country | US
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Telephone | 217-525-3733
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Fax | 217-525-3739
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | MS. KATHLEEN S. SGRO
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Credential | DNP, MBA, RN
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Telephone | 217-525-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1004506
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License Number State | IL
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