Organization Active NPI

Alternative Health Care Center P C

  • Chiropractor
  • Grosse Pte WDS, MI
National Provider Identifier
1205949526
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALTERNATIVE HEALTH CARE CENTER P C
Practice address
20415 Mack Ave
Grosse Pte WDS, MI 48236
Phone
(313) 881-7677
Fax
(313) 881-0576
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Mrs. Rochelle A Everhart
Title
Office Manager
Phone
(313) 881-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

20415 Mack Ave
Grosse Pte WDS, MI 48236

Mailing address

20415 Mack Ave
Grosse Pte WDS, MI 48236
Phone (313) 881-7677

Other identifiers 1

IdentifierTypeStateIssuer
950Q25115OtherBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060331000547 MI Part B Supplier - Clinic/Group Practice 6800804832 Receives reassigned benefits from 2 practitioners
Practice locations: Grosse PNT Woods, MI

National Provider Directory

National Provider Directory

Locations

20415 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-7677

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1205949526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20415 MACK AVE",
            "city": "GROSSE PTE WDS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-881-7677",
            "fax_number": "313-881-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20415 MACK AVE",
            "city": "GROSSE PTE WDS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-881-7677",
            "fax_number": "313-881-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE HEALTH CARE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "EVERHART",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-881-7677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "950Q25115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pte WDS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.