1639636301 NPI number — ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON

Table of content: CAROL DIANE NONA RN (NPI 1588315683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639636301 NPI number — ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639636301
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1035 DAIRY ASHFORD RD STE 142
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77079-4608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-668-8820
Provider Business Mailing Address Fax Number:
281-668-7748

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1035 DAIRY ASHFORD RD STE 142
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77079-4608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-668-8820
Provider Business Practice Location Address Fax Number:
844-371-1091
Provider Enumeration Date:
02/28/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCOTT
Authorized Official First Name:
OLANTHA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER/CEO
Authorized Official Telephone Number:
281-668-8820

Provider Taxonomy Codes

  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)