Provider Demographics
NPI:1316947864
Name:ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.
Entity type:Organization
Organization Name:ACCENTCARE HOME HEALTH OF CALIFORNIA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWARTZ-DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3819
Mailing Address - Street 1:17855 DALLAS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-6857
Mailing Address - Country:US
Mailing Address - Phone:972-267-1100
Mailing Address - Fax:972-267-1116
Practice Address - Street 1:2295 GATEWAY OAKS DR STE 125
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-4259
Practice Address - Country:US
Practice Address - Phone:916-852-5888
Practice Address - Fax:916-852-5889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-27
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100000471251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA557253Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
557253Medicare Oscar/Certification