Provider Demographics
NPI:1306095674
Name:ACCESS HOME CARE, INC.
Entity type:Organization
Organization Name:ACCESS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-476-3600
Mailing Address - Street 1:519 ROUTE 112
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-1006
Mailing Address - Country:US
Mailing Address - Phone:631-476-3600
Mailing Address - Fax:631-476-0253
Practice Address - Street 1:519 ROUTE 112
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-1006
Practice Address - Country:US
Practice Address - Phone:631-476-3600
Practice Address - Fax:631-476-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0967L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02859598OtherNEW YORK STATE DEPARTMENT OF HEALTH