1689937856 NPI number — ALTERNATIVE HEALTHCARE SERVICES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689937856 NPI number — ALTERNATIVE HEALTHCARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATIVE HEALTHCARE SERVICES, INC.
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:
1689937856
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
724 YORK RD STE 2C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21204-2378
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-769-8094
Provider Business Mailing Address Fax Number:
410-760-8092

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
724 YORK RD STE 2C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204-2378
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-769-8094
Provider Business Practice Location Address Fax Number:
410-760-8092
Provider Enumeration Date:
06/21/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ANSARI
Authorized Official First Name:
PACITA
Authorized Official Middle Name:
REGALADO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-769-8094

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  84498 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 314000000X , with the licence number: R1015 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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