=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962646372
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACCURATE HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2009
-----------------------------------------------------
Last Update Date | 04/05/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6299 W SUNRISE BLVD STE 111-112
-----------------------------------------------------
City | PLANTATION
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33313-6180
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-791-4551
-----------------------------------------------------
Fax | 954-791-8928
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6299 WEST SUNRISE BLVD STE 111-112
-----------------------------------------------------
City | SUNRISE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33313-6154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-791-4551
-----------------------------------------------------
Fax | 954-791-8928
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MISS WINSOME DAVIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-791-4551
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 21627096
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------