Healthcare Provider Details

I. General information

NPI: 1972817450
Provider Name (Legal Business Name): ACCESS HOME CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 04/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 S DIXIE DR SUITE 100
DAYTON OH
45409-1539
US

IV. Provider business mailing address

2555 S DIXIE DR SUITE 100
DAYTON OH
45409-1539
US

V. Phone/Fax

Practice location:
  • Phone: 937-672-9988
  • Fax: 888-505-6563
Mailing address:
  • Phone: 937-672-9988
  • Fax: 888-505-6563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH

VIII. Authorized Official

Name: MICHAEL DAVID BIGGS
Title or Position: MEMBER
Credential:
Phone: 937-672-9988