Provider Demographics
NPI:1104286947
Name:ACHIEVE HOME CARE SOLUTIONS
Entity type:Organization
Organization Name:ACHIEVE HOME CARE SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEKISHA
Authorized Official - Middle Name:DIRRELLE
Authorized Official - Last Name:WIMBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-857-2249
Mailing Address - Street 1:10333 NORTHFIELD RD
Mailing Address - Street 2:SUITE 74E
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1467
Mailing Address - Country:US
Mailing Address - Phone:216-857-2249
Mailing Address - Fax:
Practice Address - Street 1:10333 NORTHFIELD RD
Practice Address - Street 2:SUITE 74E
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-1467
Practice Address - Country:US
Practice Address - Phone:216-857-2249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X, 251F00000X, 253Z00000X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care