Healthcare Provider Details

I. General information

NPI: 1891034930
Provider Name (Legal Business Name): ACCOUNTABLE MEDICAL EQUIPMENT & SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2013
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 GLENWOOD AVENUE SUITE 290
MINNEAPOLIS MN
55405-1804
US

IV. Provider business mailing address

2999 N 44TH ST STE 100
PHOENIX AZ
85018-7247
US

V. Phone/Fax

Practice location:
  • Phone: 612-770-4177
  • Fax: 612-454-2664
Mailing address:
  • Phone: 612-770-4177
  • Fax: 612-454-2664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number29156
License Number StateMN

VIII. Authorized Official

Name: SUSAN VALOCCHI
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 480-618-5760