Provider Demographics
NPI:1972026961
Name:ALTERNATIVE HOME CARE, LTD.
Entity type:Organization
Organization Name:ALTERNATIVE HOME CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR OF HOME CARE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASTRID
Authorized Official - Middle Name:C
Authorized Official - Last Name:MANGULABNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-971-0778
Mailing Address - Street 1:634 N CASS AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1384
Mailing Address - Country:US
Mailing Address - Phone:630-971-0778
Mailing Address - Fax:630-971-0776
Practice Address - Street 1:634 N CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1384
Practice Address - Country:US
Practice Address - Phone:630-971-0778
Practice Address - Fax:630-971-0776
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTERNATIVE HOME HEALTH PLUS CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000195253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care