Healthcare Provider Details

I. General information

NPI: 1912428681
Provider Name (Legal Business Name): ACCREDITED HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 MAIN AVENUE SUITE 205
PASSAIC NJ
07055
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-8844
  • Fax:
Mailing address:
  • Phone: 800-379-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0035003
License Number StateNJ

VIII. Authorized Official

Name: KATIE MONASTIERE
Title or Position: COMPLIANCE PRIVACY&SAFETY OFFICER
Credential:
Phone: 800-379-1600