MEDICARE: ACCENTCARE HOME HEALTH OF CALIFORNIA, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1386054989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.

Provider Business Mailing Address
First Line	:	17855 DALLAS PKWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-6857
Country	:	US
Telephone Number	:	972-201-3779
Fax Number	:

Provider Business Practice Location Address
First Line	:	2344 S 2ND ST STE B
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-5606
Country	:	US
Telephone Number	:	760-675-3014
Fax Number	:

Authorized Official
Title or Position	:	VP LEGAL
Name	:	M'LISS JONES KANE
Credential	:
Telephone Number	:	949-623-1582

Provider Enumeration Date	:	05/05/2014
Last Update Date	:	10/18/2021

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