Provider Demographics
NPI:1699580647
Name:ACCESS CARE EVERYWHERE, LLC
Entity type:Organization
Organization Name:ACCESS CARE EVERYWHERE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHENIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-407-7879
Mailing Address - Street 1:119 W SELDEN ST
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2348
Mailing Address - Country:US
Mailing Address - Phone:617-407-7879
Mailing Address - Fax:
Practice Address - Street 1:119 W SELDEN ST
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2348
Practice Address - Country:US
Practice Address - Phone:617-407-7879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty