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NPI Code Detail

MEDICARE: ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.

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
1251E00000XHome Health Agency060000027CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZ61340ZOTHERBLUE SHIELD

General Provider Information

NPI Number : 1528014982
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.
Provider Business Mailing Address
First Line : 17855 N. DALLAS PKWY.
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75287-6857
Country : US
Telephone Number : 972-267-1100
Fax Number : 972-267-1116
Provider Business Practice Location Address
First Line : 3636 BIRCH ST STE 195
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-2644
Country : US
Telephone Number : 949-250-0133
Fax Number : 949-250-4472
Authorized Official
Title or Position : VP LEGAL
Name : M'LISS JONES KANE
Credential :
Telephone Number : 949-623-1582
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/03/2019

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Directions to “ACCENTCARE HOME HEALTH OF CALIFORNIA, INC. ” Practice Location

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