Provider Demographics
NPI:1962083592
Name:ALTERNATIVE HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:ALTERNATIVE HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-688-0708
Mailing Address - Street 1:8532 W LISBON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-3729
Mailing Address - Country:US
Mailing Address - Phone:414-509-5354
Mailing Address - Fax:414-306-6424
Practice Address - Street 1:8532 W LISBON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-3729
Practice Address - Country:US
Practice Address - Phone:414-509-5354
Practice Address - Fax:414-306-6424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health