MEDICARE: AC HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154341469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AC HEALTH, INC.

Provider Business Mailing Address
First Line	:	PO BOX 26778
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93729-6778
Country	:	US
Telephone Number	:	559-224-0560
Fax Number	:	559-224-9464

Provider Business Practice Location Address
First Line	:	1843 E FIR AVE
Second Line	:	SUITE 101
City	:	FRESNO
State	:	CA
Zip	:	93720-3863
Country	:	US
Telephone Number	:	559-224-0560
Fax Number	:	559-224-9464

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SARAH AHMED
Credential	:
Telephone Number	:	559-224-0560

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	11/03/2011

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