1295700474 NPI number — ACCURATE HOME HEALTH CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295700474 NPI number — ACCURATE HOME HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCURATE HOME HEALTH CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295700474
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3505 HART AVE STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROSEMEAD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91770-2061
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-307-5006
Provider Business Mailing Address Fax Number:
626-307-7702

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3505 HART AVE STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSEMEAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91770-2061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-307-5006
Provider Business Practice Location Address Fax Number:
626-307-7702
Provider Enumeration Date:
02/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PICARDAL
Authorized Official First Name:
NENETTE
Authorized Official Middle Name:
ALBERTO
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
626-307-5006

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  980001351 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HHA08080F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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