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NPI Code Detail

MEDICARE: ACOLOGY HOME HEALTHCARE, INC

MEDICARE: ACOLOGY HOME HEALTHCARE, 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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215007364
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACOLOGY HOME HEALTHCARE, INC
Provider Business Mailing Address
First Line : 1414 WILSHIRE BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90403-5413
Country : US
Telephone Number : 310-260-9633
Fax Number :
Provider Business Practice Location Address
First Line : 1414 WILSHIRE BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90403-5413
Country : US
Telephone Number : 310-260-9633
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. TERRI TRINH MCCAFFREY
Credential :
Telephone Number : 310-260-9633
Provider Enumeration Date : 11/08/2006
Last Update Date : 06/12/2008

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