Provider Demographics
NPI:1891332086
Name:ACCESS CARE HUMAN SERVICES LLC
Entity type:Organization
Organization Name:ACCESS CARE HUMAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KOLLIE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:267-319-6952
Mailing Address - Street 1:1260 E WOODLAND AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3969
Mailing Address - Country:US
Mailing Address - Phone:484-472-8702
Mailing Address - Fax:484-472-8755
Practice Address - Street 1:1260 E WOODLAND AVE STE 216
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3969
Practice Address - Country:US
Practice Address - Phone:484-472-8702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care