MEDICARE: ACCESS HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871708586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS HOME CARE, INC.

Provider Business Mailing Address
First Line	:	4265 GRAND HAVEN RD
Second Line	:	SUITE 203
City	:	MUSKEGON
State	:	MI
Zip	:	49441-5546
Country	:	US
Telephone Number	:	231-799-9444
Fax Number	:	231-799-9555

Provider Business Practice Location Address
First Line	:	4265 GRAND HAVEN RD
Second Line	:	SUITE 203
City	:	MUSKEGON
State	:	MI
Zip	:	49441-5546
Country	:	US
Telephone Number	:	231-799-9444
Fax Number	:	231-799-9555

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DARRELL R. LEE
Credential	:
Telephone Number	:	231-799-9444

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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