MEDICARE: ALTERNA-CARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1004506	IL

General Provider Information

NPI Number	:	1306841861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNA-CARE INC.

Provider Business Mailing Address
First Line	:	319 E MADISON ST
Second Line	:	STE 3N
City	:	SPRINGFIELD
State	:	IL
Zip	:	62701-3127
Country	:	US
Telephone Number	:	217-525-3733
Fax Number	:	217-525-3739

Provider Business Practice Location Address
First Line	:	319 E MADISON ST
Second Line	:	STE 3N
City	:	SPRINGFIELD
State	:	IL
Zip	:	62701-3127
Country	:	US
Telephone Number	:	217-525-3733
Fax Number	:	217-525-3739

Authorized Official
Title or Position	:	ADMINISTRATOR/PRESIDENT
Name	:	MS. KATHLEEN S. SGRO
Credential	:	DNP, MBA, RN
Telephone Number	:	217-525-3733

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	04/20/2008

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