Healthcare Provider Details

I. General information

NPI: 1184230948
Provider Name (Legal Business Name): ACCENTCARE FAIRVIEW HOME HEALTH - EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 HIGHPOINT DR N # S140
OAKDALE MN
55128-7577
US

IV. Provider business mailing address

225 W MULBERRY ST SUITE 102 ATTN MECCA
DENTON TX
76201
US

V. Phone/Fax

Practice location:
  • Phone: 651-232-2800
  • Fax:
Mailing address:
  • Phone: 940-220-2074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DENA SCHWARTZ-DOTY
Title or Position: AO
Credential:
Phone: 940-220-2074