Provider Demographics
NPI:1316247653
Name:ACUTECARE HOME HEALTH SERVICES,LLC
Entity type:Organization
Organization Name:ACUTECARE HOME HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NCHOBENI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALULU-DELOACH
Authorized Official - Suffix:
Authorized Official - Credentials:LVN,CLT
Authorized Official - Phone:972-795-4264
Mailing Address - Street 1:2307 KITTYHAWK DRIVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034
Mailing Address - Country:US
Mailing Address - Phone:972-795-4264
Mailing Address - Fax:214-407-8803
Practice Address - Street 1:2307 KITTYHAWK DRIVE
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:972-795-4264
Practice Address - Fax:214-407-8803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health