Provider Demographics
NPI:1396151742
Name:ACCESSIBLE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ACCESSIBLE HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDINASIR
Authorized Official - Middle Name:KORAN
Authorized Official - Last Name:ABDIKARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-269-5015
Mailing Address - Street 1:10134 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3303
Mailing Address - Country:US
Mailing Address - Phone:804-269-5015
Mailing Address - Fax:
Practice Address - Street 1:10134 W BROAD ST
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-3303
Practice Address - Country:US
Practice Address - Phone:804-269-5015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-141090251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health