Healthcare Provider Details

I. General information

NPI: 1366630865
Provider Name (Legal Business Name): A C HEALTH SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15322 WATERLOO RD
CLEVELAND OH
44110-1723
US

IV. Provider business mailing address

15322 WATERLOO RD
CLEVELAND OH
44110-1723
US

V. Phone/Fax

Practice location:
  • Phone: 216-231-6308
  • Fax: 216-231-7027
Mailing address:
  • Phone: 216-231-6308
  • Fax: 216-231-7027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1558817
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1558817
License Number StateOH

VIII. Authorized Official

Name: MS. REGENIA MCCURDY
Title or Position: CEO
Credential:
Phone: 216-231-6308