Organization Active NPI

Alternative Life Solutions Inc.

  • Exclusive Provider Organization
  • Fayetteville, NC
National Provider Identifier
1023204393
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
ALTERNATIVE LIFE SOLUTIONS INC.
Practice address
854 Durwood Dr
Fayetteville, NC 28311-1854
Phone
(910) 527-1741
Fax
(910) 778-7154
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jimia Lashun Brantley
Title
Ceo/ Director
Phone
(910) 527-1741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

854 Durwood Dr
Fayetteville, NC 28311-1854

Mailing address

854 Durwood Dr
Fayetteville, NC 28311-1854
Phone (910) 527-1741

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1023204393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 DURWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111854",
            "telephone_number": "910-527-1741",
            "fax_number": "910-778-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 DURWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111854",
            "telephone_number": "910-527-1741",
            "fax_number": "910-778-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE LIFE SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "JIMIA",
        "authorized_official_middle_name": "LASHUN",
        "authorized_official_title_or_position": "CEO/ DIRECTOR",
        "authorized_official_telephone_number": "910-527-1741",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.