Active NPI
Alternative Home Care, LLC
- Home Health Agency
- Poteau, OK
National Provider Identifier
1720136781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7840
- Legal business name
- ALTERNATIVE HOME CARE, LLC
- Practice address
- 20775 292ND Street
Poteau, OK 74953-0594 - Phone
- (918) 647-5719
- Fax
- (918) 647-0654
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arthur Wayne Hoffman
- Title
- Administrator/Member
- Phone
- (918) 647-5719
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7840 | OK | Primary |
Addresses
Primary practice location
20775 292ND Street
Poteau, OK 74953-0594
Mailing address
P.O. Box 594
Poteau, OK 74953-0594
Phone (918) 647-5719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200067770 | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426550400000",
"number": "1720136781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 594",
"city": "POTEAU",
"state": "OK",
"postal_code": "749530594",
"telephone_number": "918-647-5719",
"fax_number": "918-647-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20775 292ND STREET",
"city": "POTEAU",
"state": "OK",
"postal_code": "749530594",
"telephone_number": "918-647-5719",
"fax_number": "918-647-0654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERNATIVE HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2015-03-17",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ADMINISTRATOR/MEMBER",
"authorized_official_telephone_number": "918-647-5719",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": "7840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200067770",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.