Provider Demographics
NPI:1174740609
Name:ALTERNATIVE CARE, INC.
Entity type:Organization
Organization Name:ALTERNATIVE CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MERVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-489-3060
Mailing Address - Street 1:1983 STATE ROUTE 34
Mailing Address - Street 2:
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9750
Mailing Address - Country:US
Mailing Address - Phone:732-974-7666
Mailing Address - Fax:732-974-2261
Practice Address - Street 1:1983 STATE ROUTE 34
Practice Address - Street 2:
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-9750
Practice Address - Country:US
Practice Address - Phone:732-974-7666
Practice Address - Fax:732-974-2261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ83010261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7405804Medicaid