Alternative Adult Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

CLO-06-1103628 Issued in VA

Legal business name

ALTERNATIVE ADULT CARE

Practice address

7193 Brooking Way
Mechanicsville, VA 23111-5059

Phone

(804) 427-6966

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Magaret W Cousin, RN

Title

Executive Director

Phone

(804) 427-6966

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1740488014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7193 BROOKING WAY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231115059",
            "telephone_number": "804-427-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7193 BROOKING WAY",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231115059",
            "telephone_number": "804-427-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "COUSIN",
        "authorized_official_first_name": "MAGARET",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-427-6966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VA",
            "license": "CLO-06-1103628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008730598",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Allgeyer
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• Michael J Ambrose

• Adult Care Home Facility in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Adult Care Home Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.