Provider Demographics
NPI:1447527825
Name:ALTERNATIVE CARE SERVICES, INC.
Entity type:Organization
Organization Name:ALTERNATIVE CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CADAVONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-848-2779
Mailing Address - Street 1:2153 N KING ST
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4553
Mailing Address - Country:US
Mailing Address - Phone:808-848-2779
Mailing Address - Fax:808-848-2781
Practice Address - Street 1:2153 N KING ST
Practice Address - Street 2:SUITE 102A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4553
Practice Address - Country:US
Practice Address - Phone:808-848-2779
Practice Address - Fax:808-848-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
HI10694160251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI540494-01Medicaid