Provider Demographics
NPI:1558043836
Name:ALC HOSPICE CARE, LLC.
Entity type:Organization
Organization Name:ALC HOSPICE CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-480-6887
Mailing Address - Street 1:50A FIELDSTONE VILLAGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRING
Mailing Address - State:GA
Mailing Address - Zip Code:30739-5003
Mailing Address - Country:US
Mailing Address - Phone:706-670-1252
Mailing Address - Fax:706-670-1050
Practice Address - Street 1:50A FIELDSTONE VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:ROCK SPRING
Practice Address - State:GA
Practice Address - Zip Code:30739-5003
Practice Address - Country:US
Practice Address - Phone:706-670-1252
Practice Address - Fax:706-670-1050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALC PALLIATIVE AND HOSPICE CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based