MEDICARE: ACCENTCARE 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	007742	TX

General Provider Information

NPI Number	:	1336438779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCENTCARE INC

Provider Business Mailing Address
First Line	:	135 TECHNOLOGY DR
Second Line	:	STE 150
City	:	IRVINE
State	:	CA
Zip	:	92618-2466
Country	:	US
Telephone Number	:	949-623-1500
Fax Number	:	949-623-1499

Provider Business Practice Location Address
First Line	:	3520 EXECUTIVE CENTER DR
Second Line	:	STE 350
City	:	AUSTIN
State	:	TX
Zip	:	78731
Country	:	US
Telephone Number	:	512-343-9690
Fax Number	:	512-343-7905

Authorized Official
Title or Position	:	DIRECTOR OF CONTRACTS
Name	:	DENISE ENTNER
Credential	:
Telephone Number	:	949-623-1542

Provider Enumeration Date	:	04/06/2011
Last Update Date	:	04/06/2011

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