Provider Demographics
NPI:1518784826
Name:ALBA COMMUNITY SERVICES, LLC
Entity type:Organization
Organization Name:ALBA COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:ALPERTO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:312-363-8802
Mailing Address - Street 1:9028 N CHURCHILL CIR APT 2
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1556
Mailing Address - Country:US
Mailing Address - Phone:312-363-8802
Mailing Address - Fax:
Practice Address - Street 1:2910 N MASON AVE APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-5136
Practice Address - Country:US
Practice Address - Phone:312-363-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities