MEDICARE: M.M. ACCUMED VENTURES, 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	251E00000X	Home Health Agency	009592	TX
2	251E00000X	Home Health Agency	014868	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	679116	OTHER	TX	STERLING LIFE INSURANCE
2	679122	OTHER	TX	PACIFICARE
3	679116	OTHER	TX	HUMANA
4	724988423	OTHER	TX	AETNA US HEALTHCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	724977423	OTHER	TX	HUMANA
7	679116	OTHER	TX	ARCADIAN HEALTH PLAN HMO
8	HH136H	OTHER	TX	BC BS OF TX
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639124415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M.M. ACCUMED VENTURES, LLC

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	2800 S I H 35
Second Line	:	STE 215
City	:	AUSTIN
State	:	TX
Zip	:	78704-5712
Country	:	US
Telephone Number	:	512-330-9444
Fax Number	:	512-732-0206

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM BORNE
Credential	:
Telephone Number	:	225-292-2031

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/19/2013

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Directions to “M.M. ACCUMED VENTURES, LLC ” Practice Location

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