MEDICARE: ALTERNATIVE TRANSITIONS OF THE CAROLINAS, 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	020771712	SC
2	251J00000X	Nursing Care Agency	020771712	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427171644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE TRANSITIONS OF THE CAROLINAS, INC

Provider Business Mailing Address
First Line	:	6047 TYVOLA GLEN CIR
Second Line	:	SUITE 216
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-6431
Country	:	US
Telephone Number	:	704-414-6738
Fax Number	:	704-414-6739

Provider Business Practice Location Address
First Line	:	6047 TYVOLA GLEN CIR
Second Line	:	SUITE 216
City	:	CHARLOTTE
State	:	NC
Zip	:	28217-6431
Country	:	US
Telephone Number	:	704-414-6738
Fax Number	:	704-414-6739

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	MONTOYA M. CHRISTIAN
Credential	:
Telephone Number	:	704-414-6740

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	05/04/2011

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