1487706727 NPI number — ACCU CARE HOME HEALTH SERVICES, 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 1487706727 NPI number — ACCU CARE HOME HEALTH SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCU CARE HOME HEALTH SERVICES, 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:
1487706727
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
87 WASHINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENSSELAER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12144-2613
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-449-1142
Provider Business Mailing Address Fax Number:
518-449-1320

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
73A TROY RD
Provider Second Line Business Practice Location Address:
UNIT 2 FIRST FLOOR
Provider Business Practice Location Address City Name:
EAST GREENBUSH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12061-2613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-449-1142
Provider Business Practice Location Address Fax Number:
518-449-1320
Provider Enumeration Date:
01/17/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LOBL
Authorized Official First Name:
KREINDY
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE
Authorized Official Telephone Number:
845-738-1849

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  9141L001 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00918341 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01123642 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".