Provider Demographics
NPI:1124064514
Name:ACCESS HOMECARE SERVICES
Entity type:Organization
Organization Name:ACCESS HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:JERE
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-391-6900
Mailing Address - Street 1:2211 NEW MARKET PKWY SE
Mailing Address - Street 2:SUITE 156
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-9399
Mailing Address - Country:US
Mailing Address - Phone:678-391-6900
Mailing Address - Fax:678-391-6907
Practice Address - Street 1:2211 NEW MARKET PKWY SE
Practice Address - Street 2:SUITE 156
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-9399
Practice Address - Country:US
Practice Address - Phone:678-391-6900
Practice Address - Fax:678-391-6907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherEIN
GA5740940001Medicare NSC