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General NPI Number Information
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NPI Number | 1053138503
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Entity Type | Organization
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Legal Business Name | ACCLAIM HOME CARE INC.
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 4340 REDWOOD HWY A14
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City | SAN RAFAEL
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State | CA
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Zip | 94903
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Country | US
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Telephone | 415-479-5125
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Fax | 415-479-5196
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Provider Business Mailing Address
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Address Line | 4340 REDWOOD HWY A14
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City | SAN RAFAEL
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State | CA
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Zip | 94903
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Country | US
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Telephone | 415-479-5125
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Fax | 415-479-5196
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RANDOLPH CHU DE LEON
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Credential |
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Telephone | 415-479-5125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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