1295738359 NPI number — ACCU-BIL MANAGEMENT LLC

Table of content: (NPI 1295738359)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295738359 NPI number — ACCU-BIL MANAGEMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCU-BIL MANAGEMENT LLC
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:
OHIO CARE HOME CARE
Provider Other Organization Name Type Code:
3
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:
1295738359
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
05/05/2008
NPI Reactivation Date:
05/20/2008

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3070 PRESIDENTIAL DR
Provider Second Line Business Mailing Address:
SUITE 250
Provider Business Mailing Address City Name:
FAIRBORN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-426-4422
Provider Business Mailing Address Fax Number:
937-320-6243

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3070 PRESIDENTIAL DR
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
FAIRBORN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-426-4422
Provider Business Practice Location Address Fax Number:
937-320-6243
Provider Enumeration Date:
05/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WEBSTER
Authorized Official First Name:
LILLIE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
ADMINISTRATIVE DIRECTOR
Authorized Official Telephone Number:
937-426-4422

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  0 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2537295 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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