MEDICARE: ACCOMPLISHCARE LLC

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	376K00000X	Nurse's Aide
2	376J00000X	Homemaker

General Provider Information

NPI Number	:	1396617288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCOMPLISHCARE LLC

Provider Business Mailing Address
First Line	:	5227 N 7TH ST STE 18134
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2802
Country	:	US
Telephone Number	:	833-781-1580
Fax Number	:

Provider Business Practice Location Address
First Line	:	5227 N 7TH ST STE 18134
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2802
Country	:	US
Telephone Number	:	833-781-1580
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LISA CENAT
Credential	:
Telephone Number	:	917-264-6954

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ACCOMPLISHCARE LLC ” Practice Location

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