Healthcare Provider Details

I. General information

NPI: 1790386217
Provider Name (Legal Business Name): ACCESS ABILITY AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1895 TOWNSHIP ROAD 1215
ASHLAND OH
44805-9414
US

IV. Provider business mailing address

PO BOX 190
ASHLAND OH
44805-0190
US

V. Phone/Fax

Practice location:
  • Phone: 330-689-6263
  • Fax:
Mailing address:
  • Phone: 330-689-6263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: STACI LEAB
Title or Position: PRESIDENT/ CEO
Credential:
Phone: 330-689-6263