Healthcare Provider Details

I. General information

NPI: 1144513086
Provider Name (Legal Business Name): ACCESSIBLE HOMECARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 SUPERIOR AVE VIADUCT
CLEVELAND OH
44113
US

IV. Provider business mailing address

2401 SUPERIOR AVE VIADUCT
CLEVELAND OH
44113
US

V. Phone/Fax

Practice location:
  • Phone: 216-965-6065
  • Fax: 440-439-1545
Mailing address:
  • Phone: 216-965-6065
  • Fax: 440-439-1545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number2015857
License Number StateOH

VIII. Authorized Official

Name: DANIEL PETERY
Title or Position: MANAGING MEMBER
Credential:
Phone: 216-965-6065