Healthcare Provider Details

I. General information

NPI: 1801843495
Provider Name (Legal Business Name): ACCLAIM HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 STAFFORD ST SUITE 206
WORCESTER MA
01603-1457
US

IV. Provider business mailing address

120 STAFFORD ST SUITE 206
WORCESTER MA
01603-1457
US

V. Phone/Fax

Practice location:
  • Phone: 508-459-6937
  • Fax: 508-459-4154
Mailing address:
  • Phone: 508-459-6937
  • Fax: 508-459-4154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. CHIZOMA L NOSIKE
Title or Position: PRESIDENT
Credential: RPT, MBA(HCA)
Phone: 508-459-6937