=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649884271
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONTINUUM ACCOLADE HOME HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2020
-----------------------------------------------------
Last Update Date | 06/23/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6909 W RAY RD STE 15-123
-----------------------------------------------------
City | CHANDLER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85226-1699
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-346-2503
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6909 W RAY RD STE 15-123
-----------------------------------------------------
City | CHANDLER
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85226-1699
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-346-2503
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ PRESIDENT
-----------------------------------------------------
Name | PATRICK MURAGE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 781-346-2503
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------