=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437575255
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACCOMMODATING SOLUTIONS HEALTH CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2014
-----------------------------------------------------
Last Update Date | 03/17/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6577 N BRAEBURN LN
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53209-3323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-699-9478
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6577 N BRAEBURN LN
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53209-3323
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-699-9478
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | TREMONE L JOYNER
-----------------------------------------------------
Credential | LPN, BS, MBA
-----------------------------------------------------
Telephone | 414-699-9478
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------