MEDICARE: ADVANCED ALTERNATIVES

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

General Provider Information

NPI Number	:	1932593191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED ALTERNATIVES

Provider Business Mailing Address
First Line	:	323 EAST 214TH ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44123
Country	:	US
Telephone Number	:	213-685-4584
Fax Number	:

Provider Business Practice Location Address
First Line	:	323 E 214TH ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44123-1950
Country	:	US
Telephone Number	:	213-685-4584
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TISHA R KIRKPATRICK
Credential	:
Telephone Number	:	216-854-5842

Provider Enumeration Date	:	03/26/2015
Last Update Date	:	03/26/2015

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Directions to “ADVANCED ALTERNATIVES ” Practice Location

Language	Start Address	Practice Location

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