Healthcare Provider Details

I. General information

NPI: 1366498164
Provider Name (Legal Business Name): ACCENTCARE HOME HEALTH OF CALIFORNIA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S COURT ST SUITE A
CIRCLEVILLE OH
43113-1658
US

IV. Provider business mailing address

17855 N. DALLAS PKWY. SUITE 200
DALLAS TX
75287-6857
US

V. Phone/Fax

Practice location:
  • Phone: 740-474-7826
  • Fax: 740-474-5456
Mailing address:
  • Phone: 972-267-1100
  • Fax: 972-267-1116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DENA SCHWARTZ-DOTY
Title or Position: VP/SECRETARY
Credential:
Phone: 972-201-3819