MEDICARE: CNC / ACCESS, 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	:	1427503325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CNC / ACCESS, INC.

Provider Business Mailing Address
First Line	:	9901 LINN STATION RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-3808
Country	:	US
Telephone Number	:	502-394-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 MAJESTIC CT STE E
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-5190
Country	:	US
Telephone Number	:	704-864-0358
Fax Number	:

Authorized Official
Title or Position	:	PARALEGAL
Name	:	MARY A PANK
Credential	:
Telephone Number	:	502-420-2666

Provider Enumeration Date	:	08/20/2016
Last Update Date	:	08/20/2016

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