Healthcare Provider Details
I. General information
NPI: 1063691285
Provider Name (Legal Business Name): ACCENTCARE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
135 TECHNOLOGY DR SUITE 150
IRVINE CA
92618-2466
US
IV. Provider business mailing address
135 TECHNOLOGY DR SUITE 150
IRVINE CA
92618-2466
US
V. Phone/Fax
- Phone: 800-834-3059
- Fax: 949-623-1498
- Phone: 800-834-3059
- Fax: 949-623-1498
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
WILLIAM
H
COMTE
Title or Position: CEO/PRESIDENT
Credential:
Phone: 800-834-3059