Provider Demographics
| NPI: | 1295292993 |
|---|---|
| Name: | ACME HOME CARE, INC. |
| Entity type: | Organization |
| Organization Name: | ACME HOME CARE, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | ELENA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | TSIMBALOV |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 973-513-1182 |
| Mailing Address - Street 1: | 1723 EAST 12TH STREET |
| Mailing Address - Street 2: | STE 301 |
| Mailing Address - City: | BROOKLYN |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11229 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1723 EAST 12TH STREET |
| Practice Address - Street 2: | STE 301 |
| Practice Address - City: | BROOKLYN |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 11229 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 718-513-1182 |
| Practice Address - Fax: | 718-504-3531 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-02-28 |
| Last Update Date: | 2024-03-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
| No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
| No | 235500000X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Group - Multi-Specialty | |
| No | 2355A2700X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Audiology Assistant | Group - Multi-Specialty |
| No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
| No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
| No | 163WN1003X | Nursing Service Providers | Registered Nurse | Nutrition Support | Group - Multi-Specialty |
| No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 251E00000X | Agencies | Home Health | Group - Multi-Specialty | |
| No | 251J00000X | Agencies | Nursing Care | Group - Multi-Specialty | |
| No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |