Alcocare Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1023 Issued in WI

Legal business name

ALCOCARE INC.

Practice address

786 S Main St
Janesville, WI 53545-4852

Phone

(608) 754-6800

Fax

(608) 754-2651

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Shane Bolan, CAPSW

Title

Director

Phone

(608) 751-1042

Specialties & licenses 1

Addresses

Tax ID family

Alcocare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alcocare Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1316297492
  NPD tax ID

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1831464536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454852",
            "telephone_number": "608-754-6800",
            "fax_number": "608-754-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 S MAIN ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454852",
            "telephone_number": "608-754-6800",
            "fax_number": "608-754-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "BOLAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-751-1042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAPSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imdad Ahmed, MD
• Nadia Ahmed
• Loukia Alafogianis, LCSW
• Amy Albert, LCSW
• Alcocare Inc.
• Heidi Alderman, OT
• Muhammad B Alkhan, MD
• Chad Alladin, LAT
• Emily Grace Allbee
• Caroline Thadda Allen, LMT

• Substance Abuse Rehabilitation Facility in Janesville, WI
• Providers in Janesville, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.