MEDICARE: ALTERNATIVE HOME HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251300000X	Local Education Agency (LEA)
2	251J00000X	Nursing Care Agency
3	261QA0600X	Adult Day Care Clinic/Center
4	332B00000X	Durable Medical Equipment & Medical Supplies
5	332U00000X	Home Delivered Meals
6	343800000X	Secured Medical Transport (VAN)
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1174785661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE HOME HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	2008 INDIA HOOK RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 INDAI HOOK ROAD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732
Country	:	US
Telephone Number	:	980-275-0698
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	NIKITA BLAKENEY
Credential	:
Telephone Number	:	980-275-0698

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	01/13/2012

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